Puncture wound of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity
ICD-10 S31.142 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the epigastric region occurs when a sharp object penetrates the skin and underlying tissues but does not breach the peritoneal cavity. This type of injury can result from various incidents, including accidents involving sharp objects, falls, or intentional injuries. The presence of a foreign body complicates the clinical picture, as it may lead to infection, inflammation, or further tissue damage. Clinicians must assess the wound carefully to determine the extent of injury and the need for surgical intervention. While the peritoneal cavity remains intact, the risk of complications such as abscess formation or localized infection is present. Treatment typically involves cleaning the wound, removing any foreign objects, and monitoring for signs of infection. In some cases, surgical intervention may be necessary to repair damaged tissues or to address complications arising from the foreign body.
Detailed description of the mechanism of injury, assessment of the wound, and any interventions performed.
Patients presenting with stab wounds, accidental punctures from tools, or foreign body injuries.
Ensure that the documentation reflects the urgency of the situation and any immediate interventions taken.
Operative reports detailing the surgical approach, foreign body removal, and any repairs made to the abdominal wall.
Surgical intervention for foreign body removal or repair of abdominal wall injuries.
Accurate coding of any additional procedures performed during surgery.
Used when the wound requires suturing without complications.
Document the size and location of the wound, and the method of repair.
Emergency medicine and surgical specialties should ensure accurate coding of the procedure performed.
S31.142 refers to a puncture wound without penetration into the peritoneal cavity, while S31.141 indicates a puncture wound with such penetration, which has different clinical implications and coding requirements.
