Laceration with foreign body of anus
ICD-10 S31.832 is a billable code used to indicate a diagnosis of laceration with foreign body of anus.
S31.832 refers to a laceration of the anus that is complicated by the presence of a foreign body. This condition typically arises from trauma, which may be accidental or intentional, and can involve various types of foreign objects. The presence of a foreign body can complicate the healing process and may necessitate surgical intervention to remove the object and repair the laceration. Clinically, patients may present with pain, bleeding, and signs of infection. The management of such injuries often requires a multidisciplinary approach, involving emergency medicine, surgery, and possibly urology, especially if there are associated injuries to the pelvic region or genitourinary system. Accurate coding is essential for proper treatment reimbursement and to ensure that the complexity of the case is reflected in the medical record. The documentation must clearly outline the nature of the injury, the foreign body involved, and any surgical procedures performed to facilitate appropriate coding and billing.
Detailed account of the mechanism of injury, type of foreign body, and initial management steps.
Patients presenting with rectal trauma from accidents, assaults, or insertion of foreign objects.
Ensure that all findings are documented, including imaging results and consultations with surgical teams.
Operative reports must detail the procedure performed, including foreign body removal and laceration repair.
Surgical intervention for lacerations with foreign bodies requiring exploration and repair.
Document any complications encountered during surgery and the rationale for surgical decisions.
Used when an abscess develops from the laceration with a foreign body.
Operative report detailing the incision, drainage, and any foreign body removal.
Ensure that the procedure is linked to the diagnosis of laceration with foreign body.
Common foreign bodies include objects accidentally inserted, such as toys, or those resulting from trauma, such as metal or glass fragments.
