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ICD-10 Guide
ICD-10 CodesS01.52

S01.52

Billable

Laceration of lip and oral cavity with foreign body

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

Code Description

ICD-10 S01.52 is a billable code used to indicate a diagnosis of laceration of lip and oral cavity with foreign body.

Key Diagnostic Point:

S01.52 refers to a laceration of the lip and oral cavity that is complicated by the presence of a foreign body. This type of injury can occur due to various mechanisms, including trauma from sharp objects, bites, or accidents involving foreign materials. The clinical presentation may include visible lacerations, swelling, and potential bleeding. The presence of a foreign body can complicate the healing process and increase the risk of infection. Diagnosis typically involves a thorough clinical examination, possibly supplemented by imaging studies if the foreign body is not easily identifiable. Management may include cleaning the wound, removal of the foreign body, and suturing if necessary. Complications can include infection, delayed healing, and scarring. Accurate coding is essential for proper reimbursement and to reflect the complexity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Need for detailed documentation of the mechanism of injury
  • Potential for multiple injuries requiring additional codes
  • Variability in treatment approaches based on foreign body type

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the mechanism of injury
  • Incorrect coding of associated injuries
  • Lack of clarity in treatment documentation

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, foreign body identification, and initial treatment provided.

Common Clinical Scenarios

Trauma cases involving lacerations from accidents, fights, or falls where foreign objects are involved.

Billing Considerations

Ensure that all foreign bodies are documented and any imaging studies performed are noted.

Surgery

Documentation Requirements

Operative reports must detail the procedure for foreign body removal and any repairs made to the laceration.

Common Clinical Scenarios

Surgical intervention for lacerations requiring suturing or repair after foreign body extraction.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S01.52 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the injury and any associated foreign body

Exclusion Criteria

Do NOT use S01.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, scalp

Clinical Scenario

Used when suturing is required after foreign body removal.

Documentation Requirements

Operative report detailing the repair procedure.

Specialty Considerations

Ensure that the repair is documented as related to the laceration with foreign body.

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 those with foreign bodies, improving the accuracy of medical records and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, improving the accuracy of medical records and reimbursement.

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 should be documented to support the use of S01.52?

Documentation should include the mechanism of injury, details of the foreign body, treatment provided, and any imaging studies performed.