Laceration without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
ICD-10 S31.614 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity.
S31.614 describes a specific type of abdominal wall injury characterized by a laceration in the left lower quadrant that penetrates the peritoneal cavity without the presence of a foreign body. This condition often arises from blunt or penetrating trauma, such as stab wounds or accidents, leading to potential complications like internal bleeding, organ damage, or peritonitis. The left lower quadrant houses vital structures, including parts of the colon, the left ovary in females, and the left ureter. Therefore, injuries in this area necessitate immediate medical evaluation and intervention. The clinical presentation may include abdominal pain, tenderness, and signs of peritoneal irritation. Emergency surgical intervention is often required to repair the laceration, assess for organ damage, and prevent infection. Accurate coding is crucial for appropriate treatment planning and reimbursement, as well as for tracking trauma-related outcomes.
Detailed operative notes, imaging studies, and injury assessments.
Patients presenting with stab wounds or motor vehicle accidents resulting in abdominal trauma.
Ensure all findings from imaging and surgical exploration are documented to support coding.
Comprehensive triage notes, initial assessment findings, and treatment plans.
Patients with acute abdominal pain and suspected internal injuries.
Document all vital signs and changes in patient condition to support the urgency of the intervention.
Used when surgical intervention is required for abdominal laceration.
Operative report detailing findings and procedures performed.
Trauma surgeons must ensure all findings are documented to support the procedure.
Accurate coding of S31.614 is crucial for appropriate treatment planning, reimbursement, and tracking outcomes related to abdominal trauma. It ensures that healthcare providers are compensated for the complexity of care required for such injuries.
