Laceration without foreign body of unspecified part of neck
ICD-10 S11.91 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified part of neck.
S11.91 refers to a laceration of the neck that does not involve a foreign body and is unspecified in terms of the exact location. Lacerations can occur due to various mechanisms such as sharp objects (knives, glass), blunt trauma, or accidents. The neck is a critical area containing vital structures, including the trachea, esophagus, major blood vessels, and nerves. Therefore, lacerations in this region can lead to significant complications, including hemorrhage, airway compromise, and injury to the cervical spine. The clinical presentation may include bleeding, pain, and swelling. Diagnosis typically involves a thorough physical examination and may require imaging studies to assess for deeper injuries. Management often includes wound cleaning, suturing, and monitoring for complications. In cases of significant injury, surgical intervention may be necessary. Accurate coding is essential for proper reimbursement and tracking of injury patterns in healthcare settings.
Detailed documentation of the mechanism of injury, vital signs, and initial treatment provided.
Patients presenting with lacerations from accidents, assaults, or sports injuries.
Ensure that all relevant details are captured to support the diagnosis and any associated procedures.
Operative notes must detail the extent of the laceration, any repairs performed, and post-operative care.
Surgical repair of lacerations requiring sutures or other interventions.
Document any complications or additional procedures performed during surgery.
Used when performing a simple repair of a laceration on the neck.
Document the size of the laceration and the method of repair.
Emergency and surgical specialties should ensure accurate linkage between the procedure and diagnosis.
Document the mechanism of injury, the extent of the laceration, any treatment provided, and any follow-up care needed.
