Laceration without foreign body of right shoulder
ICD-10 S41.011 is a billable code used to indicate a diagnosis of laceration without foreign body of right shoulder.
S41.011 refers to a laceration of the right shoulder that does not involve any foreign body. This type of injury typically results from trauma, such as falls, sports injuries, or accidents. The shoulder is a complex joint that allows for a wide range of motion, making it susceptible to various injuries. A laceration in this area can affect the skin, subcutaneous tissue, and potentially deeper structures, including muscles and tendons. It is crucial to assess the extent of the laceration, as deeper injuries may involve the rotator cuff or other shoulder structures, leading to complications such as instability or impaired function. Treatment often involves cleaning the wound, suturing if necessary, and monitoring for signs of infection. In cases where the laceration is associated with other shoulder injuries, such as dislocations or fractures, comprehensive management is required to ensure optimal recovery and restore shoulder function.
Detailed description of the injury, treatment plan, and any surgical interventions performed.
Lacerations resulting from sports injuries, falls, or accidents requiring surgical repair.
Ensure accurate coding of any associated injuries, such as fractures or dislocations, and document the surgical approach if applicable.
Comprehensive assessment of the injury, including mechanism of injury and initial treatment provided.
Patients presenting with acute shoulder injuries following trauma.
Document the patient's vital signs and any immediate interventions performed to support coding.
Used for suturing a laceration on the right shoulder.
Document the size and depth of the laceration.
Orthopedic surgeons may need to document any associated injuries.
S41.011 is used for lacerations of the right shoulder without foreign body, while S41.012 is for lacerations of the left shoulder without foreign body.