Puncture wound with foreign body of unspecified front wall of thorax with penetration into thoracic cavity
ICD-10 S21.349 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified front wall of thorax with penetration into thoracic cavity.
S21.349 refers to a puncture wound that has penetrated the front wall of the thorax, potentially involving the thoracic cavity. This type of injury is often associated with trauma from sharp objects, such as knives or projectiles, and can lead to serious complications including pneumothorax (air in the pleural space), hemothorax (blood in the pleural space), rib fractures, and cardiac injuries. The presence of a foreign body complicates the clinical picture, as it may necessitate surgical intervention to remove the object and repair any damage to the thoracic structures. Patients may present with respiratory distress, chest pain, and signs of shock, requiring immediate assessment and management. Diagnostic imaging, such as chest X-rays or CT scans, is crucial for evaluating the extent of the injury and guiding treatment decisions. Surgical interventions may include thoracotomy or video-assisted thoracoscopic surgery (VATS) to address any internal injuries and ensure proper healing.
Detailed operative reports, imaging studies, and notes on the mechanism of injury.
Management of stab wounds, gunshot wounds, and other penetrating injuries.
Ensure all associated injuries are documented to support coding.
Comprehensive assessment notes, including vital signs and initial management.
Acute presentation of trauma patients with chest injuries.
Document all interventions performed in the emergency setting.
Used when a patient presents with a hemothorax or pneumothorax requiring drainage.
Document the indication for the procedure, the amount of fluid drained, and any complications.
Ensure that the procedure is linked to the diagnosis of S21.349.
Accurate coding of S21.349 is crucial for proper reimbursement, tracking of trauma cases, and ensuring that patients receive appropriate care based on the severity of their injuries.
