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ICD-10 Guide
ICD-10 CodesS01.541

S01.541

Billable

Puncture wound with foreign body of lip

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

Code Description

ICD-10 S01.541 is a billable code used to indicate a diagnosis of puncture wound with foreign body of lip.

Key Diagnostic Point:

A puncture wound with a foreign body of the lip is characterized by a penetrating injury that breaches the skin and underlying tissues of the lip, often resulting from sharp objects such as nails, glass, or metal fragments. This type of injury can occur in various settings, including accidents at home, workplace injuries, or during recreational activities. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage if not properly addressed. Clinically, patients may present with localized pain, swelling, and bleeding at the site of injury. A thorough examination is essential to assess the extent of the wound, the nature of the foreign body, and any associated injuries. Diagnostic imaging may be required to locate non-visible foreign bodies. Management typically involves cleaning the wound, removing the foreign body, and possibly suturing if the wound is deep. Tetanus prophylaxis should be considered based on the patient's immunization history. Follow-up care is crucial to monitor for signs of infection or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to document the mechanism of injury.
  • Misclassification of the injury severity.
  • Omission of follow-up care details.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the injury mechanism, foreign body details, and initial treatment provided.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant details about the injury and treatment are captured to support coding.

Surgery

Documentation Requirements

Operative reports must detail the procedure for foreign body removal and any additional repairs performed.

Common Clinical Scenarios

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

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S01.541 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, location, and any associated procedures
  • The presence of a foreign body must be clearly documented to justify the use of this specific code

Exclusion Criteria

Do NOT use S01.541 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the puncture wound requires suturing.

Documentation Requirements

Document the size of the wound and the method of repair.

Specialty Considerations

Emergency and surgical specialties should ensure accurate reporting of the procedure performed.

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, 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 those with 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 those with 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 is the difference between a puncture wound and a laceration?

A puncture wound is a penetrating injury that creates a small hole in the skin, often caused by sharp objects, while a laceration is a tear or cut in the skin that may be deeper and wider.