Puncture wound with foreign body of larynx
ICD-10 S11.014 is a billable code used to indicate a diagnosis of puncture wound with foreign body of larynx.
A puncture wound of the larynx occurs when a sharp object penetrates the laryngeal tissue, potentially introducing a foreign body into the airway. This type of injury can result from various mechanisms, including accidental trauma, penetrating injuries from weapons, or self-inflicted wounds. The presence of a foreign body can lead to airway obstruction, infection, and significant respiratory distress. Clinically, patients may present with stridor, hoarseness, difficulty breathing, or coughing up blood. Diagnosis typically involves a thorough history and physical examination, followed by imaging studies such as X-rays or CT scans to assess the extent of the injury and the presence of foreign material. Management may require immediate airway stabilization, removal of the foreign body, and surgical intervention if there is significant damage to the larynx or surrounding structures. Complications can include laryngeal edema, infection, and long-term voice changes. Accurate coding is essential for proper reimbursement and tracking of injury patterns.
Complete documentation of patient assessment, including vital signs, airway status, and any interventions performed.
Patients presenting with acute respiratory distress due to puncture wounds from accidents or assaults.
Ensure that all interventions, including airway management and foreign body removal, are documented to support coding.
Detailed operative notes that describe the procedure, findings, and any complications encountered during surgery.
Surgical repair of laryngeal injuries or removal of foreign bodies lodged in the larynx.
Document the surgical approach and any reconstructive techniques used to ensure accurate coding.
Used when airway management is required due to laryngeal injury.
Document the indication for intubation and any complications encountered.
Emergency medicine providers should ensure that airway interventions are well-documented.
Performed if the airway is compromised and cannot be secured through intubation.
Detailed operative report required, including indications and findings.
Surgical teams must document the procedure thoroughly to support coding.
The primary concern is airway compromise due to swelling or obstruction from a foreign body, which can lead to respiratory distress or failure.
Document the type of foreign body, the mechanism of injury, and any interventions performed to remove it, as this information is critical for accurate coding.
