Laceration with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
ICD-10 S31.621 is a billable code used to indicate a diagnosis of laceration with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity.
S31.621 refers to a specific type of abdominal trauma characterized by a laceration in the left upper quadrant of the abdominal wall that has been complicated by the presence of a foreign body and has penetrated into the peritoneal cavity. This condition often arises from penetrating injuries such as stab wounds or gunshot wounds, as well as from blunt trauma that results in the introduction of foreign objects into the abdominal cavity. The presence of a foreign body can lead to significant complications, including infection, peritonitis, and damage to internal organs. Immediate medical evaluation and intervention are critical to assess the extent of the injury, manage any internal bleeding, and prevent further complications. Surgical intervention is often required to remove the foreign body, repair the laceration, and address any damage to surrounding structures, including the spleen, stomach, or intestines. The complexity of this condition necessitates thorough documentation of the injury mechanism, the nature of the foreign body, and any surgical procedures performed.
Detailed operative notes, imaging results, and injury assessments.
Management of stab wounds, gunshot wounds, and blunt abdominal trauma.
Accurate documentation of the mechanism of injury and foreign body characteristics is crucial.
Comprehensive initial assessment notes, including vital signs and imaging findings.
Immediate evaluation and stabilization of trauma patients with abdominal injuries.
Timely documentation of interventions and patient response is essential for accurate coding.
Used when surgical intervention is required to explore the abdominal cavity due to penetrating trauma.
Operative report detailing findings and procedures performed.
Trauma surgeons must document the extent of the injury and any repairs made.
Accurate coding of S31.621 is crucial for proper reimbursement, tracking of trauma cases, and ensuring that patients receive appropriate care based on the severity of their injuries.
