Puncture wound of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity
ICD-10 S31.141 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity.
S31.141 refers to a puncture wound located in the left upper quadrant of the abdominal wall that is associated with a foreign body but does not penetrate the peritoneal cavity. This type of injury is often the result of trauma from sharp objects, such as knives, glass, or metal fragments, and can occur in various settings, including accidents, assaults, or industrial incidents. Clinically, the presence of a foreign body can complicate the wound, leading to potential infection or delayed healing. The abdominal wall is composed of multiple layers, and while this code indicates that the peritoneum remains intact, careful assessment is necessary to rule out deeper injuries. Treatment typically involves thorough cleaning of the wound, removal of the foreign body, and possibly suturing, depending on the size and depth of the wound. Monitoring for signs of infection and ensuring proper follow-up care are critical components of management.
Detailed description of the mechanism of injury, assessment of the wound, and any interventions performed.
Patients presenting with stab wounds, industrial accidents, or sports injuries involving sharp objects.
Ensure that the documentation clearly states the absence of peritoneal cavity involvement to avoid misclassification.
Operative reports detailing the removal of foreign bodies and any surgical interventions performed.
Surgical intervention for foreign body removal or repair of the abdominal wall.
Documentation must include the condition of the abdominal wall and any potential complications.
Used when the wound requires suturing after foreign body removal.
Document the size, location, and nature of the wound.
Ensure that the procedure is linked to the diagnosis of the puncture wound.
Specifying the left upper quadrant is crucial for accurate coding and treatment planning, as it helps identify potential underlying organ involvement and guides appropriate management.
