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ICD-10 Guide
ICD-10 CodesS31.812

S31.812

Billable

Laceration with foreign body of right buttock

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S31.812 is a billable code used to indicate a diagnosis of laceration with foreign body of right buttock.

Key Diagnostic Point:

S31.812 refers to a laceration of the right 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 laceration may vary in depth and severity, potentially involving subcutaneous tissue, muscle, and even deeper structures. The presence of a foreign body, such as glass, metal, or other debris, complicates the injury, necessitating careful evaluation and management. Clinicians must assess for signs of infection, tissue damage, and the need for surgical intervention to remove the foreign object and repair the laceration. Emergency surgical interventions may include debridement, foreign body extraction, and closure of the wound, depending on the extent of the injury. Proper documentation of the injury's mechanism, the nature of the foreign body, and the treatment provided is crucial for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates coding and treatment.
  • Requires detailed documentation of the injury mechanism.
  • Potential for associated injuries in the pelvic region.
  • Need for surgical intervention may vary based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to document the mechanism of injury.
  • Lack of clarity on the extent of the laceration.
  • Improper coding of associated injuries or complications.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, foreign body characteristics, and treatment provided.

Common Clinical Scenarios

Trauma cases involving falls, accidents, or assaults leading to lacerations with foreign bodies.

Billing Considerations

Ensure all aspects of the injury and treatment are documented to support coding.

Surgery

Documentation Requirements

Operative reports detailing the procedure for foreign body removal and laceration repair.

Common Clinical Scenarios

Surgical interventions for lacerations with foreign bodies requiring debridement or repair.

Billing Considerations

Accurate coding of surgical procedures performed in conjunction with the laceration treatment.

Coding Guidelines

Inclusion Criteria

Use S31.812 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the foreign body
  • Include any associated injuries or complications in coding

Exclusion Criteria

Do NOT use S31.812 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the laceration after foreign body removal.

Documentation Requirements

Document the size and complexity of the laceration.

Specialty Considerations

Ensure the procedure aligns with the injury's severity.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

Used when the foreign body requires surgical extraction.

Documentation Requirements

Detail the type and location of the foreign body.

Specialty Considerations

Document any complications or additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, improving the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, improving the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should I document for a laceration with a foreign body?

Document the mechanism of injury, type of foreign body, depth of the laceration, and any surgical interventions performed.