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ICD-10 Guide
ICD-10 CodesS01.442

S01.442

Billable

Puncture wound with foreign body of left cheek and temporomandibular area

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S01.442 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left cheek and temporomandibular area.

Key Diagnostic Point:

A puncture wound with a foreign body in the left cheek and temporomandibular area typically results from penetrating trauma, such as a stab wound, animal bite, or an injury from a sharp object. This type of injury can lead to significant complications, including infection, damage to underlying structures such as nerves and blood vessels, and potential involvement of the temporomandibular joint (TMJ). The clinical presentation may include localized pain, swelling, and the presence of a foreign object that may be visible or palpable. Diagnostic evaluation often involves a thorough physical examination, imaging studies such as X-rays or CT scans to assess for foreign bodies and evaluate the extent of tissue damage. Management may require surgical intervention to remove the foreign body, repair damaged tissues, and prevent infection. Proper wound care and follow-up are essential to ensure healing and monitor for complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the location and nature of the foreign body
  • Potential for associated injuries requiring additional coding
  • Variability in clinical presentation and management approaches
  • Requirement for detailed operative notes if surgical intervention is performed

Audit Risk Factors

  • Inadequate documentation of the foreign body and its impact on treatment
  • Failure to specify the exact location of the injury
  • Misclassification of the injury type (e.g., coding as a laceration instead of a puncture)
  • Omission of associated injuries that may require additional codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed description of the injury, mechanism of injury, and any immediate interventions performed.

Common Clinical Scenarios

Trauma cases involving knife wounds, animal bites, or accidents with sharp objects.

Billing Considerations

Ensure that all foreign bodies are documented, including size and type, as this can affect management and coding.

Surgery

Documentation Requirements

Operative reports should detail the procedure performed, including foreign body removal and any repairs made to surrounding tissues.

Common Clinical Scenarios

Surgical intervention for deep puncture wounds with foreign bodies requiring exploration and repair.

Billing Considerations

Accurate coding of surgical procedures related to the injury is crucial for reimbursement and compliance.

Coding Guidelines

Inclusion Criteria

Use S01.442 When
  • Follow the official ICD
  • CM coding guidelines, ensuring specificity in documentation regarding the location and nature of the injury
  • Use additional codes as necessary to capture any associated injuries or complications

Exclusion Criteria

Do NOT use S01.442 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and drainage of abscess

Clinical Scenario

Used when an abscess forms as a complication of the puncture wound.

Documentation Requirements

Operative report detailing the incision, drainage, and any foreign body removal.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the puncture wound.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a puncture wound and a laceration?

A puncture wound is a deep wound caused by a sharp object that penetrates the skin, while a laceration is a tear or cut in the skin that may be jagged or irregular. Puncture wounds often involve deeper tissues and can introduce foreign bodies, whereas lacerations may not.