Laceration without foreign body of penis
ICD-10 S31.21 is a billable code used to indicate a diagnosis of laceration without foreign body of penis.
S31.21 refers to a laceration of the penis that occurs without the presence of a foreign body. This type of injury can result from various mechanisms, including trauma from accidents, sexual activity, or self-inflicted injuries. Clinically, it is important to assess the extent of the laceration, as it may involve superficial layers of skin or deeper structures, including the corpus spongiosum or corpus cavernosum. The management of such injuries often requires careful evaluation to rule out associated injuries to the urethra or other genitourinary structures. In cases of significant laceration, surgical intervention may be necessary to repair the tissue and restore function. The absence of a foreign body simplifies the coding process, as it eliminates the need for additional codes that would apply if a foreign object were involved. Accurate documentation of the mechanism of injury, the extent of the laceration, and any associated injuries is crucial for proper coding and billing.
Detailed notes on the extent of the laceration, any surgical interventions performed, and follow-up care.
Management of penile lacerations following trauma, surgical repair of lacerations, and evaluation for urethral injury.
Urologists must ensure that any potential urethral injury is documented and assessed, as this can affect treatment and coding.
Comprehensive assessment of the injury, including mechanism of injury, vital signs, and any immediate interventions.
Initial evaluation and management of penile lacerations in the emergency department setting.
Emergency physicians should document the mechanism of injury clearly to support the coding of the laceration.
Used for repair of a laceration without foreign body.
Document the size and location of the laceration.
Urologists should ensure that the repair is documented as a simple or complex repair based on the extent of the injury.
S31.21 is used for lacerations of the penis without a foreign body, while S31.22 is for lacerations that involve a foreign body. Accurate documentation is crucial to determine which code to use.
