Puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity
ICD-10 S31.149 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity.
A puncture wound of the abdominal wall with a foreign body refers to an injury where an object has penetrated the skin and underlying tissues of the abdomen but has not breached the peritoneal cavity. This type of injury can occur due to various mechanisms, including accidental trauma, such as a stab wound or impalement, or as a result of a surgical procedure where a foreign object is inadvertently left in the abdominal wall. The absence of penetration into the peritoneal cavity is significant as it reduces the risk of intra-abdominal complications such as peritonitis or organ injury. Clinical assessment typically involves a thorough physical examination to evaluate the extent of the injury, potential foreign body location, and any associated symptoms such as pain, swelling, or signs of infection. Imaging studies may be warranted to locate the foreign body and assess for any underlying damage. Treatment often involves surgical intervention to remove the foreign body and repair the abdominal wall, along with appropriate wound care to prevent infection.
Detailed account of the mechanism of injury, assessment findings, and treatment provided.
Patients presenting with stab wounds, accidental punctures, or foreign body injuries.
Ensure documentation reflects the urgency of the situation and any immediate interventions performed.
Operative reports detailing the surgical approach, foreign body removal, and any repairs made to the abdominal wall.
Surgical intervention for foreign body removal and repair of abdominal wall injuries.
Accurate coding of the surgical procedure in conjunction with the diagnosis is crucial.
Used when there is a need to explore the abdominal cavity due to suspected complications.
Operative report detailing findings and interventions.
General surgery documentation must reflect the necessity of the procedure.
Documentation must include the mechanism of injury, the type of foreign body, the location of the wound, and any treatment provided. It should also confirm that there is no penetration into the peritoneal cavity.
