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ICD-10 Guide
ICD-10 CodesS11.11

S11.11

Billable

Laceration without foreign body of thyroid gland

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

Code Description

ICD-10 S11.11 is a billable code used to indicate a diagnosis of laceration without foreign body of thyroid gland.

Key Diagnostic Point:

A laceration of the thyroid gland is a type of injury characterized by a tear or cut in the thyroid tissue, which is located in the anterior neck region. This injury can occur due to various mechanisms, including blunt trauma, penetrating injuries, or surgical complications. The thyroid gland plays a crucial role in regulating metabolism and hormone production, and any injury to this gland can lead to significant clinical implications. Lacerations without foreign bodies typically indicate that the injury was not caused by an external object, such as a knife or bullet, but rather by a forceful impact or surgical intervention. Clinical assessment often involves a thorough physical examination, imaging studies such as ultrasound or CT scans, and laboratory tests to evaluate thyroid function. Management may include surgical repair, monitoring for complications such as hemorrhage or infection, and addressing any hormonal imbalances that may arise from the injury. Accurate coding of this condition is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between lacerations and other types of thyroid injuries.
  • Understanding the implications of associated injuries in the neck region.
  • Documenting the absence of foreign bodies accurately.
  • Identifying the mechanism of injury for accurate coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the absence of foreign bodies.
  • Misclassification of lacerations as other types of injuries.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, physical examination findings, and any immediate interventions performed.

Common Clinical Scenarios

Trauma cases involving motor vehicle accidents, falls, or sports injuries leading to neck lacerations.

Billing Considerations

Emergency providers should ensure that all relevant imaging and lab results are documented to support the diagnosis.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical management of thyroid lacerations following trauma or during thyroidectomy procedures.

Billing Considerations

Surgeons should document any complications encountered during the procedure to support coding for associated conditions.

Coding Guidelines

Inclusion Criteria

Use S11.11 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical documentation
  • The injury must be clearly documented as a laceration without foreign body, and the mechanism of injury should be specified

Exclusion Criteria

Do NOT use S11.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

60240CPT Code

Thyroidectomy, total or subtotal

Clinical Scenario

Used in cases where surgical intervention is required following a laceration.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Surgeons should document any complications or additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations of the thyroid gland, improving data accuracy and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations of the thyroid gland, improving data accuracy and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 difference between S11.11 and S11.12?

S11.11 is used for lacerations of the thyroid gland without foreign bodies, while S11.12 is for lacerations that involve foreign bodies.