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ICD-10 Guide
ICD-10 CodesS41.129

S41.129

Billable

Laceration with foreign body of unspecified upper arm

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S41.129 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified upper arm.

Key Diagnostic Point:

S41.129 refers to a laceration of the upper arm that is complicated by the presence of a foreign body. This condition typically arises from traumatic injuries, such as accidents or falls, where sharp objects penetrate the skin and underlying tissues. The upper arm encompasses the area between the shoulder and the elbow, and lacerations can vary in depth and severity. The presence of a foreign body, such as glass, metal, or wood, complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. Proper assessment and management are crucial, often requiring imaging studies to locate the foreign object and surgical intervention for removal. The treatment plan may involve wound cleaning, debridement, and suturing, along with antibiotics to prevent infection. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury in the patient's medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Variety of potential foreign objects requiring different management
  • Need for imaging studies to locate foreign body
  • Potential for associated injuries (e.g., nerve or vascular damage)

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document the extent of the laceration
  • Lack of imaging reports to support the diagnosis
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes describing the laceration, foreign body removal, and any associated repairs.

Common Clinical Scenarios

Surgical intervention for lacerations with foreign bodies, repair of associated fractures, or rotator cuff injuries.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any additional procedures performed.

Emergency Medicine

Documentation Requirements

Thorough documentation of the mechanism of injury, initial assessment, and treatment provided in the emergency setting.

Common Clinical Scenarios

Assessment and management of traumatic lacerations, including foreign body removal and stabilization of the patient.

Billing Considerations

Accurate coding requires clear documentation of the injury's nature and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S41.129 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the type of foreign body and any associated injuries

Exclusion Criteria

Do NOT use S41.129 When
  • Exclude codes for lacerations without foreign bodies

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

Simple repair of a laceration

Clinical Scenario

Used when performing a simple repair of the laceration after foreign body removal.

Documentation Requirements

Document the extent of the laceration and the repair technique used.

Specialty Considerations

Orthopedic surgeons may need to document any additional repairs or interventions performed.

20680CPT Code

Removal of foreign body from soft tissue

Clinical Scenario

Used when a foreign body is surgically removed from the upper arm.

Documentation Requirements

Detailed operative notes describing the foreign body and the technique used for removal.

Specialty Considerations

Ensure that the foreign body type and location are clearly documented.

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. This specificity improves data accuracy and enhances the ability to track injury trends and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity improves data accuracy and enhances the ability to track injury trends and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity improves data accuracy and enhances the ability to track injury trends and outcomes.

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 is the significance of coding S41.129 accurately?

Accurate coding of S41.129 is crucial for proper reimbursement, tracking of injury trends, and ensuring that the complexity of the injury is reflected in the patient's medical record. It also aids in the management of potential complications associated with foreign bodies.