Puncture wound of abdominal wall with foreign body, left lower quadrant without penetration into peritoneal cavity
ICD-10 S31.144 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body, left lower quadrant without penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the left 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, assaults, or surgical complications. 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 left lower quadrant, and there may be visible signs of the puncture wound. It is crucial to assess for any signs of internal injury, especially in cases where the wound is deep or if the foreign body is large. Emergency surgical intervention may be required to remove the foreign body and to ensure that there is no damage to underlying structures such as the intestines or major blood vessels. Proper wound care and monitoring for infection are essential components of management.
Detailed account of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with stab wounds, accidental punctures, or foreign body injuries.
Ensure that all relevant imaging and surgical interventions are documented.
Operative reports detailing the removal of foreign bodies and any repairs made to the abdominal wall.
Surgical intervention for foreign body removal and management of associated injuries.
Document any findings related to the peritoneal cavity to rule out complications.
Used when there is suspicion of internal injury requiring surgical exploration.
Operative report detailing findings and interventions.
General surgery documentation must include all findings related to the abdominal cavity.
Accurate coding of S31.144 is crucial for proper reimbursement, tracking of injury types, and ensuring appropriate patient care. It also helps in identifying trends in trauma cases and improving clinical outcomes.
