Laceration with foreign body of unspecified part of thorax
ICD-10 S21.92 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified part of thorax.
S21.92 refers to a laceration of the thorax that is accompanied by a foreign body, where the specific part of the thorax is not specified. This condition can arise from various traumatic incidents, including accidents, falls, or penetrating injuries. The presence of a foreign body complicates the injury, as it may lead to additional complications such as infection, hemothorax, or pneumothorax. Clinically, patients may present with chest pain, difficulty breathing, or signs of shock depending on the severity of the injury. Diagnostic imaging, such as X-rays or CT scans, may be necessary to assess the extent of the injury and the location of the foreign body. Treatment often involves surgical intervention to remove the foreign body and repair any associated damage to the thoracic structures, including the lungs, ribs, or major blood vessels. The management of such injuries requires a multidisciplinary approach, often involving trauma surgeons, pulmonologists, and critical care specialists.
Detailed operative reports, imaging results, and follow-up notes are essential.
Trauma from motor vehicle accidents, falls, or gunshot wounds.
Ensure all associated injuries are documented to support coding.
Pulmonary function tests and imaging studies to assess lung involvement.
Patients presenting with respiratory distress following thoracic trauma.
Document any pulmonary complications such as pneumothorax or hemothorax.
Used for initial evaluation of a patient with thoracic laceration.
Document the patient's history, examination findings, and treatment plan.
Ensure that the visit level reflects the complexity of the case.
Used when surgical intervention is required to remove the foreign body.
Detailed operative report including the type of foreign body and surgical technique used.
Trauma surgeons must document all findings and complications.
Documentation should include the type of laceration, the presence and type of foreign body, any associated injuries, and the treatment provided.
No, S21.92 is specifically for traumatic lacerations with foreign bodies.
