Unspecified open wound of right buttock
ICD-10 S31.819 is a billable code used to indicate a diagnosis of unspecified open wound of right buttock.
An unspecified open wound of the right buttock refers to a traumatic injury characterized by a break in the skin and underlying tissues in the right gluteal region. This type of injury can result from various mechanisms, including blunt force trauma, lacerations, or penetrating injuries. The buttock area is anatomically complex, containing muscles, nerves, and blood vessels, making it susceptible to complications such as infection, hematoma formation, or damage to the underlying structures. In cases of severe trauma, associated injuries may involve the pelvic region, lumbar spine, or genitourinary system, necessitating a comprehensive assessment and potential surgical intervention. Emergency surgical procedures may be required to manage significant bleeding, repair damaged tissues, or address any complications arising from the injury. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.
Detailed operative notes, imaging studies, and assessments of associated injuries.
Management of traumatic injuries from falls, motor vehicle accidents, or assaults.
Ensure all associated injuries are documented to support coding for multiple trauma.
Comprehensive initial assessment, including vital signs, mechanism of injury, and immediate interventions.
Patients presenting with acute trauma requiring stabilization and potential surgical referral.
Document all interventions and consultations to support coding for emergency procedures.
Used for repair of an open wound on the right buttock.
Document the size of the wound and the method of repair.
Trauma surgeons should ensure all associated injuries are documented.
S31.819 refers to an unspecified open wound of the right buttock, while S31.81 specifies an open wound of the left buttock.
