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ICD-10 Guide
ICD-10 CodesS31.822

S31.822

Billable

Laceration with foreign body of left buttock

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

Code Description

ICD-10 S31.822 is a billable code used to indicate a diagnosis of laceration with foreign body of left buttock.

Key Diagnostic Point:

S31.822 refers to a laceration of the left 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 wood, can complicate the injury, leading to increased risk of infection, delayed healing, and the need for surgical intervention. Clinical evaluation often includes imaging studies to assess the extent of the injury and the location of the foreign body. Treatment may involve wound cleaning, foreign body removal, and possibly suturing or other closure methods. Emergency surgical intervention may be necessary if the foreign body is deeply embedded or if there are associated injuries to underlying structures, such as nerves or blood vessels. Proper documentation of the injury's mechanism, the nature of the foreign body, and the treatment provided is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the coding process.
  • Requires detailed documentation of the injury mechanism.
  • Potential for associated injuries necessitates thorough evaluation.
  • Variability in treatment approaches 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.

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 details of the injury and treatment are documented to support coding.

Surgery

Documentation Requirements

Operative reports must detail the procedure for foreign body removal and any additional repairs.

Common Clinical Scenarios

Surgical intervention for deep lacerations with foreign bodies requiring exploration and repair.

Billing Considerations

Accurate coding requires clear documentation of the surgical approach and findings.

Coding Guidelines

Inclusion Criteria

Use S31.822 When
  • According to ICD
  • 10 coding guidelines, S31
  • 822 should be used when a laceration of the left buttock is specifically documented as having a foreign body
  • Coders must ensure that the documentation supports the diagnosis and includes details about the foreign body and any associated injuries

Exclusion Criteria

Do NOT use S31.822 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 depth of the laceration and the foreign body removal.

Specialty Considerations

Emergency medicine and surgical specialties must ensure accurate reporting of the procedure.

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 be documented for S31.822?

Documentation should include the mechanism of injury, details about the foreign body, the extent of the laceration, and the treatment provided.