Open bite of vagina and vulva
ICD-10 S31.45 is a billable code used to indicate a diagnosis of open bite of vagina and vulva.
An open bite of the vagina and vulva refers to a traumatic injury characterized by a laceration or puncture wound in the vaginal or vulvar area, typically resulting from an external force. This type of injury can occur due to various mechanisms, including sexual assault, accidents, or surgical complications. The clinical presentation may include bleeding, pain, and potential exposure of underlying tissues. Open bites can lead to significant complications, including infection, scarring, and functional impairment. In cases of severe trauma, associated injuries to the pelvic region, such as fractures or damage to surrounding organs, may also be present. Emergency surgical intervention may be required to repair the injury, control bleeding, and prevent infection. Proper assessment and documentation of the extent of the injury, associated trauma, and any surgical procedures performed are crucial for accurate coding and management of the patient's care.
Detailed account of the mechanism of injury, vital signs, and initial assessment findings.
Patients presenting with trauma from accidents, assaults, or surgical complications.
Ensure documentation reflects the urgency of the situation and any immediate interventions performed.
Comprehensive documentation of the injury, including location, size, and depth, as well as any surgical repair performed.
Management of trauma cases, post-operative complications, or injuries related to childbirth.
Consideration of potential long-term effects on reproductive health and function.
Used when performing a simple repair of an open bite injury.
Document the size and location of the wound, as well as the repair technique used.
Emergency medicine and surgical specialties should ensure accurate coding of the procedure performed.
Open bite injuries can result from various causes, including trauma from accidents, sexual assault, or surgical complications. Each case requires careful assessment to determine the mechanism of injury.
