Open bite of abdominal wall, left lower quadrant with penetration into peritoneal cavity
ICD-10 S31.654 is a billable code used to indicate a diagnosis of open bite of abdominal wall, left lower quadrant with penetration into peritoneal cavity.
An open bite of the abdominal wall in the left lower quadrant with penetration into the peritoneal cavity is a serious injury that typically results from a penetrating trauma, such as an animal bite or a sharp object. This condition can lead to significant complications, including peritonitis, hemorrhage, and organ damage. The left lower quadrant houses vital structures, including parts of the colon, the left ovary in females, and the left kidney. When the abdominal wall is compromised, there is a risk of contamination from external pathogens entering the peritoneal cavity, which can lead to severe infections. Immediate medical evaluation is crucial, often requiring imaging studies to assess the extent of the injury and any associated internal damage. Surgical intervention is frequently necessary to repair the abdominal wall, clean the peritoneal cavity, and address any damaged organs. The management of such injuries requires a multidisciplinary approach, including trauma surgery, infectious disease specialists, and critical care teams to ensure optimal patient outcomes.
Detailed operative reports, imaging results, and notes on patient assessment.
Management of penetrating abdominal injuries, emergency surgeries for trauma patients.
Ensure all surgical interventions are documented, including any complications or additional procedures performed.
Comprehensive patient history, physical examination findings, and initial management notes.
Initial assessment and stabilization of trauma patients with abdominal injuries.
Document the mechanism of injury and any immediate interventions performed in the emergency setting.
Used when surgical intervention is required to assess and repair abdominal injuries.
Operative report detailing findings and procedures performed.
Trauma surgeons must ensure accurate coding of all procedures performed during surgery.
Documenting the mechanism of injury is crucial for accurate coding, as it helps differentiate between types of injuries and supports the medical necessity for surgical interventions.
