Puncture wound with foreign body of abdominal wall with penetration into peritoneal cavity
ICD-10 S31.64 is a billable code used to indicate a diagnosis of puncture wound with foreign body of abdominal wall with penetration into peritoneal cavity.
A puncture wound with a foreign body of the abdominal wall that penetrates into the peritoneal cavity is a serious injury that can lead to significant complications. This type of wound typically occurs due to penetrating trauma, such as stab wounds, gunshot wounds, or accidental injuries involving sharp objects. The presence of a foreign body can exacerbate the injury, increasing the risk of infection, peritonitis, and damage to internal organs. Clinically, patients may present with abdominal pain, tenderness, and signs of peritoneal irritation. Immediate assessment and intervention are critical, often requiring imaging studies to evaluate the extent of the injury and the presence of any foreign objects. Surgical intervention is frequently necessary to remove the foreign body, repair any damaged structures, and prevent further complications. The management of such injuries requires a multidisciplinary approach, including trauma surgeons, radiologists, and emergency medicine specialists.
Detailed operative notes, imaging reports, and injury assessments.
Management of stab wounds, gunshot wounds, and accidental punctures.
Accurate documentation of the surgical approach and any complications encountered.
Comprehensive patient assessment, including vital signs and initial imaging results.
Initial evaluation and stabilization of trauma patients with abdominal injuries.
Timely documentation of interventions and patient response.
Used when surgical intervention is required for abdominal trauma.
Operative report detailing findings and interventions.
Trauma surgeons must document the extent of the injury and any repairs performed.
Coding S31.64 accurately reflects the severity of the injury and the need for potential surgical intervention, which is crucial for appropriate patient management and reimbursement.
