Puncture wound with foreign body of left upper arm
ICD-10 S41.142 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left upper arm.
A puncture wound with a foreign body in the left upper arm typically occurs when a sharp object penetrates the skin and underlying tissues, potentially introducing foreign material into the wound. This type of injury can result from various incidents, including accidents involving sharp tools, animal bites, or falls onto sharp objects. Clinically, such wounds may present with localized pain, swelling, and redness, and they carry a risk of infection, especially if the foreign body is not removed promptly. The presence of a foreign body complicates the healing process and may require surgical intervention to ensure complete removal and to prevent further complications. In cases where the foreign body is deeply embedded, imaging studies may be necessary to ascertain its location and extent of tissue involvement. Treatment often involves thorough cleaning of the wound, possible debridement, and careful monitoring for signs of infection. The management of puncture wounds with foreign bodies is critical to prevent long-term complications, including chronic pain or functional impairment of the arm.
Detailed operative notes describing the procedure for foreign body removal, including imaging results.
Patients presenting with puncture wounds from industrial accidents or sports injuries requiring surgical intervention.
Ensure documentation reflects the complexity of the injury and any associated fractures or soft tissue damage.
Comprehensive assessment notes including mechanism of injury, initial treatment, and follow-up care.
Patients with acute puncture wounds presenting to the ER, often requiring immediate care and potential surgical referral.
Document the patient's tetanus status and any prophylactic measures taken.
Used when the puncture wound becomes infected and requires drainage.
Document the size, location, and nature of the abscess.
Orthopedic surgeons should note any associated injuries.
Document the mechanism of injury, type of foreign body, location, treatment provided, and any follow-up care.
