Unspecified open wound of penis
ICD-10 S31.20 is a billable code used to indicate a diagnosis of unspecified open wound of penis.
An unspecified open wound of the penis refers to a traumatic injury that results in a break in the skin or mucous membrane of the penile structure. This type of injury can occur due to various mechanisms, including blunt trauma, lacerations, or penetrating injuries. The clinical presentation may vary from minor abrasions to severe lacerations that could involve deeper structures such as the corpus cavernosum or urethra. The management of such injuries often requires a thorough assessment to rule out associated injuries, particularly in cases of pelvic trauma, where injuries to the genitourinary system may coexist. Emergency surgical intervention may be necessary to repair significant lacerations, control bleeding, or address any potential complications such as infection or urethral injury. Proper documentation of the mechanism of injury, extent of the wound, and any associated injuries is crucial for accurate coding and treatment planning.
Detailed description of the injury, surgical interventions performed, and any complications.
Traumatic injuries from accidents, sports injuries, or assault.
Ensure documentation includes specifics about the extent of the injury and any associated genitourinary trauma.
Comprehensive assessment of the patient's condition, including vital signs and mechanism of injury.
Patients presenting with acute trauma to the genital area requiring immediate care.
Document all interventions performed in the emergency setting to support coding.
Used when surgical repair is performed for an open wound of the penis.
Document the extent of the laceration and the surgical technique used.
Urology specialists should ensure detailed operative notes are available.
Document the mechanism of injury, extent of the wound, any associated injuries, and the treatment provided, including surgical interventions if applicable.
