Puncture wound with foreign body of unspecified buttock
ICD-10 S31.804 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified buttock.
A puncture wound with a foreign body in the buttock region can occur due to various incidents such as falls, accidents, or intentional injuries. This type of injury is characterized by a breach in the skin that penetrates deeper tissues, potentially involving muscles, nerves, and blood vessels. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. Clinical evaluation is essential to assess the extent of the injury, the type of foreign body, and any associated complications. Treatment often involves surgical intervention to remove the foreign object, debridement of necrotic tissue, and appropriate wound care. In cases where the foreign body is not easily accessible, imaging studies may be required to locate it accurately. The management of such injuries must also consider the risk of infection and the need for tetanus prophylaxis, depending on the patient's immunization history. Overall, timely and appropriate management is crucial to prevent complications and promote optimal healing.
Detailed account of the injury mechanism, foreign body identification, and treatment provided.
Patients presenting with puncture wounds from falls, accidents, or assaults.
Ensure thorough documentation of any imaging studies and consultations with surgical teams.
Operative reports detailing the removal of foreign bodies and any additional procedures performed.
Surgical intervention for deep puncture wounds with foreign bodies requiring debridement.
Document the extent of tissue involvement and any complications encountered during surgery.
Used for repair of the puncture wound after foreign body removal.
Document the size of the wound and the method of repair.
Ensure that the procedure is linked to the diagnosis of the puncture wound.
Used if the puncture wound becomes infected and requires drainage.
Document the size and location of the abscess.
Link the procedure to the diagnosis of infection following the puncture wound.
Coding S31.804 accurately reflects the presence of a puncture wound with a foreign body, which is crucial for appropriate treatment planning and resource allocation.
Document the mechanism of injury, the type of foreign body, the treatment provided, and any follow-up care to ensure accurate coding.
