Laceration without foreign body of unspecified back wall of thorax without penetration into thoracic cavity
ICD-10 S21.219 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified back wall of thorax without penetration into thoracic cavity.
S21.219 refers to a laceration of the back wall of the thorax that does not involve a foreign body and does not penetrate the thoracic cavity. This type of injury can occur due to blunt or penetrating trauma, such as falls, motor vehicle accidents, or assaults. Clinically, it is important to assess the extent of the laceration and monitor for potential complications, including pneumothorax, hemothorax, or rib fractures. While the laceration itself may not penetrate the thoracic cavity, associated injuries can lead to significant morbidity. Proper imaging, such as chest X-rays or CT scans, may be necessary to rule out underlying injuries. Treatment typically involves wound care, possible suturing, and monitoring for complications. The absence of a foreign body simplifies the management but requires careful evaluation to ensure no deeper structures are compromised.
Detailed account of the injury mechanism, physical exam findings, and any imaging results.
Patients presenting with chest trauma from falls or accidents, requiring assessment for rib fractures or pneumothorax.
Ensure that all associated injuries are documented to support the coding of S21.219.
Comprehensive surgical notes detailing the extent of the laceration and any interventions performed.
Surgical intervention for thoracic lacerations, including repair of associated injuries.
Document any surgical findings that may affect coding, such as the presence of rib fractures or other thoracic injuries.
Used for suturing the laceration in the emergency department.
Document the size and location of the laceration, as well as the repair technique used.
Emergency medicine providers should ensure that the repair is documented in detail.
S21.219 is used for lacerations without foreign bodies, while S21.211 is for lacerations that involve a foreign body.
