Puncture wound with foreign body of oral cavity
ICD-10 S01.542 is a billable code used to indicate a diagnosis of puncture wound with foreign body of oral cavity.
A puncture wound with a foreign body in the oral cavity typically occurs when a sharp object penetrates the mucosal surface of the mouth, potentially introducing foreign materials into the tissue. Common causes include accidental injuries from sharp utensils, dental instruments, or foreign objects such as splinters or metal fragments. Clinically, these injuries can lead to localized pain, swelling, and possible infection if not properly managed. The presence of a foreign body complicates the injury, as it may cause additional tissue damage or provoke an inflammatory response. Diagnosis involves a thorough clinical examination, often supplemented by imaging studies to assess the extent of the injury and the presence of any retained foreign material. Management may include removal of the foreign body, wound cleaning, and possibly antibiotic therapy to prevent infection. In some cases, surgical intervention may be necessary, especially if the foreign body is deeply embedded or if there is significant tissue damage.
Complete documentation of the injury mechanism, foreign body details, and treatment provided.
Patients presenting with puncture wounds from food items, dental tools, or accidents.
Ensure that all relevant details about the foreign body and any complications are documented.
Operative reports must detail the procedure for foreign body removal and any additional repairs.
Surgical intervention for deeply embedded foreign bodies or those causing significant tissue damage.
Document any complications encountered during surgery and the rationale for surgical intervention.
Used when an abscess develops from the puncture wound.
Document the need for drainage and the procedure performed.
Emergency and surgical specialties should ensure clear documentation of the procedure.
The primary focus is on accurately documenting the type of foreign body involved and the specifics of the puncture wound, including any complications or associated procedures.
