Laceration with foreign body of lower back and pelvis
ICD-10 S31.02 is a billable code used to indicate a diagnosis of laceration with foreign body of lower back and pelvis.
S31.02 refers to a laceration in the lower back and pelvis region that is complicated by the presence of a foreign body. This condition often arises from traumatic incidents such as falls, accidents, or penetrating injuries. The foreign body may include items like glass, metal fragments, or other debris that can complicate the injury and increase the risk of infection. Clinically, patients may present with pain, swelling, and visible lacerations, and they may require imaging studies to assess the extent of the injury and the location of the foreign body. Emergency surgical intervention may be necessary to remove the foreign object, repair the laceration, and prevent further complications such as hemorrhage or infection. The management of such injuries requires a multidisciplinary approach, often involving trauma surgeons, orthopedic specialists, and emergency medicine providers to ensure comprehensive care and optimal outcomes.
Detailed operative reports including the type of laceration, foreign body details, and surgical interventions performed.
Trauma from motor vehicle accidents, falls, or industrial accidents leading to lacerations with foreign bodies.
Ensure all surgical interventions are documented, including any complications or follow-up care.
Thorough documentation of initial assessment, imaging results, and treatment provided in the emergency setting.
Patients presenting with acute trauma, requiring immediate evaluation and potential surgical referral.
Accurate coding of the mechanism of injury and any immediate interventions performed.
Used for lacerations requiring simple closure without extensive debridement.
Document the size of the laceration and the method of closure.
Trauma surgeons may need to provide additional details on the complexity of the repair.
Used when foreign body removal and extensive debridement are necessary.
Detailed operative report describing the extent of debridement and foreign body removal.
Ensure that the documentation supports the need for extensive debridement.
Accurate coding of S31.02 is crucial for proper reimbursement, tracking of trauma cases, and ensuring that patients receive appropriate care for their injuries. It also helps in identifying trends in trauma-related injuries for public health purposes.
