Puncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity
ICD-10 S31.140 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity.
A puncture wound of the abdominal wall occurs when a sharp object penetrates the skin and underlying tissues, creating an opening that may introduce foreign material into the body. In the case of S31.140, the wound is specifically located in the right upper quadrant of the abdomen and does not extend into the peritoneal cavity, which is the space within the abdomen that houses the intestines, liver, and other organs. This type of injury can result from various incidents, including accidents involving sharp objects, falls, or assaults. The presence of a foreign body complicates the injury, as it may lead to infection, inflammation, or further tissue damage. Clinical management typically involves thorough wound cleaning, assessment for foreign body removal, and monitoring for signs of infection or other complications. Emergency surgical intervention may be required if there is significant tissue damage or if the foreign body cannot be safely removed in a less invasive manner. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.
Detailed notes on the mechanism of injury, assessment of the wound, and any interventions performed.
Patients presenting with stab wounds, accidental punctures from tools, or animal bites.
Ensure that the documentation clearly states the absence of peritoneal cavity involvement and any foreign bodies present.
Operative reports detailing the surgical approach, findings, and any foreign body removal.
Surgical intervention for foreign body removal or repair of abdominal wall injuries.
Document the rationale for surgical intervention and any complications encountered.
Used when the puncture wound requires suturing or closure.
Document the size of the wound and the method of closure.
Ensure that the procedure is linked to the correct diagnosis code.
Documenting the absence of peritoneal cavity penetration is crucial as it determines the appropriate coding and management of the injury. It indicates that the injury is less severe and may not require the same level of surgical intervention as a penetrating injury.
