Puncture wound of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity
ICD-10 S31.145 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the periumbilical 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, 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 around the wound site. It is crucial to assess for any signs of infection or complications, such as abscess formation. Treatment typically involves thorough cleaning of the wound, possible removal of the foreign body, and monitoring for any signs of peritoneal involvement. Surgical intervention may be required if there is a risk of deeper tissue damage or if the foreign body cannot be safely removed in a clinical setting. Proper documentation of the injury mechanism, foreign body characteristics, and treatment provided is essential for accurate coding and billing.
Detailed account of the injury mechanism, foreign body characteristics, and treatment provided.
Patients presenting with puncture wounds from sharp objects, such as knives or glass.
Ensure that any imaging or surgical interventions are documented to support coding.
Operative reports detailing the removal of foreign bodies and any surgical interventions performed.
Surgical intervention for foreign body removal or repair of abdominal wall defects.
Document any complications or additional procedures performed during surgery.
Used when the wound requires suturing or closure.
Document the size and location of the wound, as well as the method of closure.
Emergency and surgical specialties should ensure accurate coding based on the complexity of the repair.
The presence of a foreign body complicates the injury and may require additional treatment, such as removal, which must be documented for accurate coding.
