Puncture wound without foreign body of pharynx and cervical esophagus
ICD-10 S11.23 is a billable code used to indicate a diagnosis of puncture wound without foreign body of pharynx and cervical esophagus.
A puncture wound of the pharynx and cervical esophagus is a specific type of injury characterized by a breach in the mucosal lining caused by a sharp object, such as a knife or a foreign object, without the presence of a foreign body. This injury can occur due to various mechanisms, including accidental trauma, self-inflicted wounds, or assault. Clinically, patients may present with symptoms such as pain, difficulty swallowing (dysphagia), and potential airway compromise. The injury can lead to significant complications, including infection, perforation, and mediastinitis, necessitating prompt evaluation and management. Diagnosis typically involves a thorough history and physical examination, supplemented by imaging studies such as CT scans or endoscopy to assess the extent of the injury. Management may include surgical intervention, especially if there is a risk of perforation or significant tissue damage. The absence of a foreign body is crucial for accurate coding, as it distinguishes this injury from other similar conditions that may require different management strategies.
Emergency department notes must include a detailed account of the injury, mechanism, and initial management.
Patients presenting with stab wounds or accidental punctures during activities such as cooking.
Rapid assessment and documentation are critical to ensure accurate coding and management.
Operative reports should detail the findings, interventions performed, and any complications encountered.
Surgical repair of a puncture wound with potential esophageal involvement.
Documentation must clearly indicate the absence of foreign bodies to support the use of S11.23.
Used when assessing for injury or complications in the esophagus.
Endoscopy report must detail findings and any interventions.
Important for gastroenterology and surgical specialties.
S11.23 is used for puncture wounds without foreign bodies, while S11.22 is for those with foreign bodies present. Accurate documentation is essential to determine which code to use.
