Puncture wound of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity
ICD-10 S31.143 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the right lower quadrant 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, falls, or intentional harm. The presence of a foreign body complicates the injury, as it may lead to infection, inflammation, or further tissue damage. Clinically, patients may present with localized pain, swelling, and tenderness in the right lower quadrant, and there may be visible signs of the foreign object. It is crucial to assess the wound for signs of infection and to determine if any surgical intervention is necessary to remove the foreign body and repair the abdominal wall. Emergency surgical interventions may include debridement, exploration, and closure of the wound, depending on the extent of the injury and the nature of the foreign body. Proper management is essential to prevent complications such as abscess formation or systemic infection.
Detailed description of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with stab wounds, accidental punctures, or foreign body injuries.
Ensure that all findings related to the foreign body and potential complications are documented.
Operative reports detailing the surgical intervention, foreign body removal, and any repairs made.
Surgical intervention for abdominal wall injuries with foreign bodies.
Accurate coding of the surgical procedure performed in conjunction with the injury.
Used when the wound requires simple closure without complications.
Document the size and location of the wound, and the method of closure.
Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of the repair.
Documenting the foreign body is crucial as it can affect treatment decisions, potential complications, and the coding process. It helps in understanding the injury's severity and planning appropriate surgical interventions.
