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ICD-10 Guide
ICD-10 CodesS11.24

S11.24

Billable

Puncture wound with foreign body of pharynx and cervical esophagus

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

Code Description

ICD-10 S11.24 is a billable code used to indicate a diagnosis of puncture wound with foreign body of pharynx and cervical esophagus.

Key Diagnostic Point:

A puncture wound with a foreign body in the pharynx and cervical esophagus typically occurs when an object penetrates the soft tissues of the throat, potentially causing significant injury. This type of injury can arise from various mechanisms, including accidental ingestion of sharp objects, trauma from medical procedures, or intentional harm. Clinical presentation may include difficulty swallowing, pain, and potential airway obstruction. Diagnosis often involves a thorough history and physical examination, supplemented by imaging studies such as X-rays or CT scans to locate the foreign body and assess the extent of injury. Management may require endoscopic removal of the foreign body, surgical intervention, or supportive care depending on the severity of the injury and associated complications. Complications can include infection, perforation of the esophagus, and airway compromise, necessitating prompt medical attention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential foreign bodies (sharp, blunt, organic, inorganic)
  • Need for precise documentation of the mechanism of injury
  • Potential for associated injuries requiring additional codes
  • Variability in clinical presentation and management approaches

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location
  • Failure to specify the mechanism of injury
  • Misclassification of the injury severity
  • Omission of associated injuries or complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed documentation of the patient's presenting symptoms, mechanism of injury, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with acute throat pain after swallowing a foreign object or following trauma.

Billing Considerations

Ensure that all relevant imaging and consultation notes are included to support the diagnosis.

Surgery

Documentation Requirements

Comprehensive operative reports detailing the procedure for foreign body removal and any repairs made to the pharynx or esophagus.

Common Clinical Scenarios

Surgical intervention for removal of a foreign body lodged in the pharynx or esophagus.

Billing Considerations

Document any complications encountered during surgery and the rationale for the surgical approach.

Coding Guidelines

Inclusion Criteria

Use S11.24 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the diagnosis and any associated conditions
  • Document the mechanism of injury and any relevant clinical findings

Exclusion Criteria

Do NOT use S11.24 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

43260CPT Code

Esophagoscopy, rigid or flexible, diagnostic

Clinical Scenario

Used when assessing the esophagus for foreign body removal.

Documentation Requirements

Document the findings of the esophagoscopy and any interventions performed.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the puncture wound with foreign body.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding injuries, including those involving foreign bodies. This has improved the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding injuries, including those involving foreign bodies. This has improved the accuracy of data collection 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 primary focus when coding S11.24?

The primary focus is to accurately document the presence of a foreign body, the mechanism of injury, and any associated complications to ensure proper coding and reimbursement.