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ICD-10 Guide
ICD-10 CodesS01.449

S01.449

Billable

Puncture wound with foreign body of unspecified cheek and temporomandibular area

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

Code Description

ICD-10 S01.449 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified cheek and temporomandibular area.

Key Diagnostic Point:

The S01.449 code refers to a puncture wound that occurs in the cheek and temporomandibular area, which may involve the introduction of a foreign body. This type of injury can result from various mechanisms, including accidental trauma, animal bites, or penetrating injuries from sharp objects. Clinically, puncture wounds can lead to complications such as infection, abscess formation, and damage to underlying structures, including nerves and blood vessels. The presence of a foreign body can complicate the healing process and may require surgical intervention for removal. Diagnosis typically involves a thorough clinical examination, imaging studies if necessary, and assessment of the foreign body’s nature and location. Management may include wound cleaning, possible suturing, and antibiotics to prevent infection. The complexity of this code lies in the need for precise documentation of the injury mechanism, the type of foreign body, and any associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential foreign bodies
  • Need for detailed documentation of injury mechanism
  • Potential for associated complications
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the mechanism of injury
  • Misclassification of the injury site
  • Omission of associated complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the injury, mechanism, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents, animal bites, or fights.

Billing Considerations

Ensure that all relevant details about the foreign body and potential complications are documented.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, foreign body removal, and any repairs made to the tissue.

Common Clinical Scenarios

Surgical intervention for foreign body removal or repair of damaged structures.

Billing Considerations

Document the type of foreign body and any complications encountered during surgery.

Coding Guidelines

Inclusion Criteria

Use S01.449 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring specificity in the documentation of the injury site and mechanism
  • Use additional codes for any associated complications or conditions

Exclusion Criteria

Do NOT use S01.449 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the wound requires closure after foreign body removal.

Documentation Requirements

Document the size and nature of the wound, as well as the procedure performed.

Specialty Considerations

Emergency and surgical specialties should ensure accurate coding based on the complexity of the repair.

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 the ability to capture the presence of 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 the ability to capture the presence of foreign bodies, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

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

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 should be documented to support the use of S01.449?

Documentation should include the mechanism of injury, type of foreign body, treatment provided, and any complications encountered during care.