Puncture wound without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
ICD-10 S31.634 is a billable code used to indicate a diagnosis of puncture wound without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the left lower quadrant that penetrates the peritoneal cavity is a serious injury that can lead to significant complications. This type of wound typically results from sharp objects or trauma, such as a knife or a fall onto a sharp object. The peritoneal cavity houses vital organs, including parts of the intestines, bladder, and reproductive organs, making any injury in this area potentially life-threatening. Patients may present with abdominal pain, tenderness, and signs of peritonitis, such as fever and guarding. Immediate assessment and intervention are crucial to prevent infection and manage any internal bleeding. Surgical intervention may be required to repair the abdominal wall and address any damage to internal organs. The complexity of managing such injuries necessitates a multidisciplinary approach, often involving trauma surgeons, emergency medicine physicians, and radiologists for imaging studies to assess the extent of the injury.
Detailed operative notes, imaging results, and post-operative care plans.
Management of stab wounds, gunshot wounds, and accidental punctures.
Ensure documentation reflects the extent of injury and any complications encountered during surgery.
Thorough initial assessment notes, including vital signs and physical exam findings.
Initial evaluation of trauma patients presenting with abdominal injuries.
Document all interventions performed in the emergency department, including imaging and consultations.
Used when surgical intervention is required to explore and repair abdominal injuries.
Operative report detailing findings and procedures performed.
Trauma surgeons must document the extent of injury and any repairs made.
Accurate coding of S31.634 is crucial for proper reimbursement, tracking of injury patterns, and ensuring appropriate patient care. It reflects the severity of the injury and the need for potential surgical intervention.
