Laceration with foreign body of left breast
ICD-10 S21.022 is a billable code used to indicate a diagnosis of laceration with foreign body of left breast.
S21.022 refers to a laceration of the left breast that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as accidents, falls, or assaults where sharp objects penetrate the breast tissue. The laceration may vary in severity, ranging from superficial cuts to deep wounds that could involve underlying structures such as muscle or even the chest wall. The presence of a foreign body, such as glass, metal, or other debris, complicates the injury, necessitating careful evaluation and management to prevent infection and ensure proper healing. Clinicians must assess for potential complications, including pneumothorax or hemothorax, particularly if the injury is associated with rib fractures or other thoracic trauma. Surgical intervention may be required to remove the foreign body and repair the laceration, which can involve various specialties, including general surgery and trauma surgery. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.
Detailed operative notes describing the laceration, foreign body removal, and any repairs performed.
Surgical intervention for traumatic lacerations with foreign bodies.
Ensure documentation reflects the complexity of the injury and any associated procedures.
Comprehensive trauma assessment including imaging results and management plans.
Management of traumatic chest injuries with potential for rib fractures or thoracic complications.
Document all findings related to the chest wall and any interventions performed.
Used for repair of the laceration after foreign body removal.
Operative report detailing the repair process.
General surgery documentation standards apply.
When a foreign body is surgically removed from the breast.
Detailed notes on the foreign body type and removal technique.
Trauma surgery documentation standards apply.
Document the type of foreign body, the extent of the laceration, any associated injuries, and the treatment provided, including any surgical interventions.
