Laceration with foreign body of unspecified buttock
ICD-10 S31.802 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified buttock.
S31.802 refers to a laceration of the buttock that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as falls, accidents, or penetrating injuries. The buttock region, being a large and muscular area, can sustain significant trauma, leading to lacerations that may involve not only the skin but also underlying tissues, including muscles and fascia. The presence of a foreign body, such as glass, metal, or other debris, can complicate the healing process and increase the risk of infection. Clinicians must assess the extent of the laceration, the type of foreign body, and any associated injuries to the pelvic region, lumbar spine, or genitourinary system. Emergency surgical intervention may be required to remove the foreign body, repair the laceration, and prevent complications. Proper documentation is essential to capture the nature of the injury, the treatment provided, and any follow-up care needed.
Detailed description of the injury mechanism, foreign body identification, and treatment provided.
Patients presenting with traumatic injuries from falls or accidents requiring immediate care.
Ensure all associated injuries are documented, and the rationale for surgical intervention is clear.
Operative reports detailing the removal of foreign bodies and repair of lacerations.
Surgical intervention for complex lacerations with foreign bodies requiring exploration and repair.
Accurate coding of the surgical procedure and any complications that arise during surgery.
Used for the repair of lacerations with foreign bodies after removal.
Document the extent of the laceration and the foreign body removal.
Ensure that the surgical notes detail the procedure and any complications.
Documentation should include the mechanism of injury, type of foreign body, extent of the laceration, treatment provided, and any associated injuries.
