Laceration of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity
ICD-10 S31.129 is a billable code used to indicate a diagnosis of laceration of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity.
S31.129 refers to a laceration of the abdominal wall that occurs in an unspecified quadrant and involves a foreign body, but does not penetrate the peritoneal cavity. This type of injury is often the result of blunt or penetrating trauma, such as from a fall, accident, or assault. The presence of a foreign body complicates the injury, as it may lead to infection or further tissue damage. Clinically, patients may present with localized pain, swelling, and signs of inflammation at the site of the laceration. It is crucial to assess the extent of the injury and the potential for associated injuries to the underlying organs, including the intestines, bladder, and major blood vessels. Emergency surgical intervention may be required to remove the foreign body, repair the laceration, and prevent complications such as abscess formation or peritonitis. Proper documentation of the injury's specifics, including the nature of the foreign body and the quadrant affected, is essential for accurate coding and treatment planning.
Detailed notes on the mechanism of injury, assessment findings, and treatment provided.
Patients presenting with trauma from accidents, falls, or assaults with abdominal wall injuries.
Ensure all relevant imaging and surgical notes are included to support the diagnosis.
Operative reports detailing the surgical intervention, foreign body removal, and any repairs performed.
Surgical intervention for lacerations requiring repair and foreign body extraction.
Document the surgical approach and any complications encountered during the procedure.
Used if the laceration is suspected to involve internal organs.
Operative report detailing findings and interventions.
General surgery documentation must include the rationale for exploratory procedures.
Documentation should include details of the injury mechanism, the specific quadrant affected, the type of foreign body, and any imaging or surgical findings that confirm the diagnosis.
