Laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
ICD-10 S31.613 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity.
S31.613 refers to a specific type of abdominal wall injury characterized by a laceration in the right lower quadrant that penetrates the peritoneal cavity without the presence of a foreign body. This condition typically arises from traumatic events such as motor vehicle accidents, falls, or penetrating injuries. The peritoneal cavity is a potential space within the abdomen that houses various organs, including the intestines, liver, and reproductive organs. When a laceration penetrates this cavity, it can lead to serious complications such as peritonitis, hemorrhage, or organ damage. Clinical evaluation often involves imaging studies like CT scans to assess the extent of the injury and determine the need for surgical intervention. Emergency surgical procedures may be required to repair the laceration, control bleeding, and prevent infection. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.
Thorough documentation of the patient's clinical presentation, mechanism of injury, and any imaging or surgical interventions performed.
Patients presenting with abdominal trauma from accidents or falls, requiring immediate assessment and potential surgical intervention.
Emergency physicians must ensure that all findings are documented clearly to support the coding of complex injuries.
Detailed operative reports that describe the surgical approach, findings, and repairs made during the procedure.
Surgical repair of abdominal wall lacerations with peritoneal involvement, often following trauma.
Surgeons should document any complications or additional procedures performed to ensure accurate coding.
Used when surgical intervention is required to explore and repair the laceration.
Operative report detailing the findings and repairs made during the procedure.
General surgeons must ensure that all findings are documented to support the coding of the procedure.
Accurate coding of S31.613 is crucial for appropriate reimbursement, ensuring that the complexity of the injury is recognized and that the patient receives the necessary care and follow-up.
