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ICD-10 Guide
ICD-10 CodesS11.013

S11.013

Billable

Puncture wound without foreign body of larynx

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

Code Description

ICD-10 S11.013 is a billable code used to indicate a diagnosis of puncture wound without foreign body of larynx.

Key Diagnostic Point:

A puncture wound of the larynx is a penetrating injury that disrupts the integrity of the laryngeal tissue without the presence of a foreign body. This type of injury can occur due to various mechanisms, including trauma from sharp objects, accidental injury during medical procedures, or intentional harm. Clinically, patients may present with symptoms such as hoarseness, stridor, difficulty breathing, or hemoptysis, depending on the severity of the injury. The larynx plays a critical role in airway protection and phonation, making injuries to this area potentially life-threatening. Diagnosis typically involves a thorough clinical examination, laryngoscopy, and imaging studies to assess the extent of the injury and rule out associated complications such as laryngeal edema or airway obstruction. Management may include airway stabilization, surgical intervention for repair, and monitoring for complications such as infection or airway compromise.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between puncture wounds and other types of laryngeal injuries.
  • Identifying the absence of foreign bodies, which can complicate coding.
  • Understanding the clinical implications of laryngeal injuries.
  • Documenting the mechanism of injury accurately.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the absence of foreign bodies.
  • Misclassification of the injury type.
  • Lack of detailed clinical findings in the medical record.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed documentation of the patient's presentation, mechanism of injury, and initial management steps.

Common Clinical Scenarios

Patients presenting with acute laryngeal trauma from falls, assaults, or accidental injuries.

Billing Considerations

Ensure airway management is documented, as this is critical in emergency settings.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any repairs performed.

Common Clinical Scenarios

Surgical intervention for laryngeal repair following a puncture wound.

Billing Considerations

Document any complications encountered during surgery, as these may affect coding.

Coding Guidelines

Inclusion Criteria

Use S11.013 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including the mechanism and absence of foreign bodies
  • Use additional codes for any associated conditions or complications

Exclusion Criteria

Do NOT use S11.013 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31500CPT Code

Endotracheal intubation, emergency

Clinical Scenario

Used when airway management is required due to laryngeal injury.

Documentation Requirements

Document the indication for intubation and any complications.

Specialty Considerations

Emergency medicine providers must ensure clear documentation of airway status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of laryngeal injuries, improving data accuracy and facilitating better patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of laryngeal injuries, improving data accuracy and facilitating better patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of laryngeal injuries, improving data accuracy and facilitating better patient care management.

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 primary documentation needed for coding S11.013?

The primary documentation includes a detailed description of the injury, the mechanism of injury, and any associated symptoms or complications.