Laceration without foreign body of vocal cord
ICD-10 S11.031 is a billable code used to indicate a diagnosis of laceration without foreign body of vocal cord.
A laceration of the vocal cord is a traumatic injury that results in a tear or cut in the vocal cord tissue, which can occur due to various mechanisms such as blunt trauma, penetrating injuries, or surgical complications. This injury can lead to significant voice changes, hoarseness, or even loss of voice, depending on the severity and location of the laceration. The vocal cords, located in the larynx, are essential for phonation and airway protection. Lacerations can be classified as superficial or deep, with deep lacerations potentially involving surrounding structures and leading to complications such as airway obstruction or infection. Diagnosis typically involves a thorough history and physical examination, often supplemented by laryngoscopy to visualize the extent of the injury. Management may include voice rest, hydration, and in some cases, surgical intervention to repair the laceration. Complications can include scarring, chronic hoarseness, or airway compromise, necessitating careful monitoring and follow-up.
Complete documentation of the patient's history, mechanism of injury, and initial assessment findings.
Patients presenting with trauma to the neck or throat, such as from accidents or assaults.
Ensure that the mechanism of injury is clearly documented to support the diagnosis and coding.
Detailed operative reports that describe the surgical approach, findings, and any repairs performed.
Surgical interventions for vocal cord lacerations, including direct repair or laryngeal reconstruction.
Document any complications encountered during surgery that may affect coding.
Used to evaluate vocal cord injuries.
Document findings from the laryngoscopy and any interventions performed.
Emergency and ENT specialists should ensure thorough documentation of the procedure.
S11.031 is used for lacerations of the vocal cord without a foreign body, while S11.032 is for lacerations that involve a foreign body. Accurate documentation of the presence or absence of foreign bodies is crucial for correct coding.
