Unspecified open wound of left cheek and temporomandibular area
ICD-10 S01.402 is a billable code used to indicate a diagnosis of unspecified open wound of left cheek and temporomandibular area.
The code S01.402 refers to an unspecified open wound located on the left cheek and temporomandibular area. This type of injury can occur due to various mechanisms, including blunt trauma, lacerations from sharp objects, or bites. The temporomandibular area is critical for jaw function, and injuries here can lead to complications such as pain, restricted movement, and potential damage to the underlying structures, including nerves and blood vessels. Clinical assessment typically involves a thorough physical examination to evaluate the extent of the wound, associated injuries, and any signs of infection. Imaging studies may be warranted to rule out fractures or deeper tissue damage. Management often includes wound cleaning, suturing if necessary, and monitoring for complications such as infection or scarring. The complexity of this injury lies in its potential impact on facial aesthetics and function, necessitating careful documentation and follow-up.
Acute care documentation must include details of the injury mechanism, assessment findings, and initial treatment provided.
Trauma from falls, assaults, or accidents leading to facial lacerations.
Ensure that all relevant details are captured to support the diagnosis and treatment plan.
Operative reports should detail the surgical approach, findings, and any reconstructive procedures performed.
Surgical repair of complex facial lacerations or reconstruction of the temporomandibular joint.
Document any complications or additional procedures performed during surgery.
Used for suturing an open wound on the left cheek.
Document the size of the wound and the method of repair.
Ensure that the procedure aligns with the diagnosis for accurate billing.
Open wounds involve a break in the skin, exposing underlying tissues, while closed wounds do not break the skin and may involve bruising or internal damage.
