Laceration without foreign body of right buttock
ICD-10 S31.811 is a billable code used to indicate a diagnosis of laceration without foreign body of right buttock.
S31.811 refers to a laceration of the right buttock that does not involve any foreign body. This type of injury is often the result of blunt trauma, falls, or accidents. Clinically, lacerations can vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and underlying muscles. In cases of significant trauma, there may be associated injuries to the pelvic region, lumbar spine, or even genitourinary structures. The management of such lacerations typically involves thorough cleaning, assessment for deeper tissue damage, and possible surgical intervention to repair the wound. Emergency surgical interventions may be necessary if there is significant bleeding, contamination, or if the laceration extends into deeper structures. Proper documentation is crucial to capture the extent of the injury and any associated complications, which can influence treatment decisions and coding accuracy.
Detailed description of the mechanism of injury, assessment of associated injuries, and treatment provided.
Patients presenting with trauma from falls, accidents, or assaults resulting in buttock lacerations.
Ensure all associated injuries are documented to support coding and billing.
Operative reports detailing the extent of the laceration, any repairs performed, and post-operative care.
Surgical intervention for deep lacerations requiring repair or debridement.
Document the surgical approach and any complications encountered during the procedure.
Used for lacerations requiring simple closure without complications.
Document the size of the laceration and the method of closure.
Ensure that the procedure aligns with the diagnosis for accurate billing.
S31.811 is used for lacerations of the right buttock without any foreign body, while S31.812 is for lacerations that involve a foreign body.
