Open bite of vocal cord
ICD-10 S11.035 is a billable code used to indicate a diagnosis of open bite of vocal cord.
An open bite of the vocal cord refers to a laceration or injury that disrupts the integrity of the vocal cord tissue, typically resulting from trauma. This injury can occur due to various mechanisms, including blunt force trauma, penetrating injuries, or accidental bites during seizures or other uncontrolled movements. Clinically, patients may present with symptoms such as hoarseness, difficulty speaking, or respiratory distress, depending on the severity of the injury. Diagnosis is primarily through laryngoscopy, which allows direct visualization of the vocal cords and assessment of the extent of the injury. Management may involve conservative measures such as voice rest and hydration, or surgical intervention in more severe cases to repair the vocal cords. Complications can include scarring, chronic hoarseness, or airway obstruction. Accurate coding is essential for proper treatment reimbursement and tracking of injury patterns in clinical settings.
Documentation must include the mechanism of injury, initial assessment findings, and any immediate interventions performed.
Trauma patients presenting with laryngeal injuries from accidents or assaults.
Ensure that all relevant injuries are documented, as multiple trauma can complicate coding.
Operative reports must detail the surgical approach, findings, and any repairs made to the vocal cords.
Patients requiring surgical intervention for severe vocal cord lacerations.
Documenting the surgical technique and any complications is crucial for accurate coding.
Used for initial evaluation of vocal cord injuries.
Document indications for the procedure and findings.
Emergency medicine and ENT specialists should ensure thorough documentation.
The primary mechanism is typically blunt or penetrating trauma, which can occur in various scenarios such as accidents, assaults, or seizures.
