Laceration without foreign body of breast
ICD-10 S21.01 is a billable code used to indicate a diagnosis of laceration without foreign body of breast.
S21.01 refers to a laceration of the breast that does not involve any foreign body. This type of injury can occur due to various mechanisms, including blunt trauma, sharp force trauma, or surgical interventions. The breast is a sensitive area that can be affected by trauma leading to lacerations, which may vary in severity from superficial cuts to deep wounds that could involve underlying structures such as muscle or connective tissue. In cases of chest trauma, it is crucial to assess for associated injuries, such as rib fractures, pneumothorax, or hemothorax, which can complicate the clinical picture. Proper evaluation and management are essential to prevent complications, including infection or significant blood loss. Documentation should include the mechanism of injury, depth of the laceration, and any associated injuries to ensure accurate coding and appropriate treatment planning.
Detailed description of the injury, mechanism of injury, and any associated injuries.
Patients presenting with trauma from accidents, falls, or assaults.
Ensure all associated injuries are documented to support coding for potential complications.
Operative reports detailing the laceration, repair techniques, and any complications.
Surgical interventions for trauma repair or elective procedures leading to lacerations.
Document the extent of the laceration and any underlying structures involved.
Used when a laceration repair is performed in the breast area.
Operative report detailing the laceration and repair technique.
Ensure the procedure is linked to the correct diagnosis.
S21.01 is used for lacerations of the breast without any foreign body, while S21.02 is for lacerations that involve a foreign body. Accurate documentation is essential to determine the correct code.
