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ICD-10 Guide
ICD-10 CodesS11.81

S11.81

Billable

Laceration without foreign body of other specified part of neck

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

Code Description

ICD-10 S11.81 is a billable code used to indicate a diagnosis of laceration without foreign body of other specified part of neck.

Key Diagnostic Point:

S11.81 refers to a laceration of the neck that does not involve a foreign body. This injury can occur due to various mechanisms, including sharp objects (e.g., knives, glass), blunt trauma leading to skin tears, or accidents involving machinery. Clinical presentation typically includes visible skin disruption, potential bleeding, and varying degrees of tissue damage. The neck is a critical area due to the presence of vital structures such as blood vessels, nerves, and the airway. Therefore, assessment should include evaluating for deeper injuries that may compromise these structures. Management often involves wound cleaning, possible suturing, and monitoring for complications such as infection or hematoma formation. Accurate coding is essential for appropriate reimbursement and tracking of injury patterns in populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of injury severity
  • Need for precise anatomical location identification
  • Differentiation from similar codes (e.g., S11.82 for laceration with foreign body)
  • Potential for associated injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the depth of the laceration
  • Misclassification of the injury site
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the injury mechanism, assessment findings, and treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, assaults, or sports injuries.

Billing Considerations

Ensure that all relevant details about the injury and treatment are captured to support the coding.

Surgery

Documentation Requirements

Detailed operative notes including the extent of the laceration, repair techniques used, and any complications.

Common Clinical Scenarios

Surgical repair of neck lacerations requiring suturing or other interventions.

Billing Considerations

Documenting the surgical approach and any additional procedures performed is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S11.81 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario and that all documentation supports the diagnosis

Exclusion Criteria

Do NOT use S11.81 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when a laceration is repaired in an outpatient setting.

Documentation Requirements

Document the size of the laceration and the repair technique used.

Specialty Considerations

Emergency and surgical specialties should ensure that the procedure aligns with the diagnosis.

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, which improves data accuracy and enhances the ability to track injury patterns and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations, which improves data accuracy and enhances the ability to track injury patterns and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations, which improves data accuracy and enhances the ability to track injury patterns and treatment outcomes.

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 S11.81 and S11.82?

S11.81 is used for lacerations without foreign bodies, while S11.82 is for lacerations that involve a foreign body. Accurate documentation is essential to determine which code to use.