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ICD-10 Guide
ICD-10 CodesS51.82

S51.82

Billable

Laceration with foreign body of forearm

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

Code Description

ICD-10 S51.82 is a billable code used to indicate a diagnosis of laceration with foreign body of forearm.

Key Diagnostic Point:

S51.82 refers to a laceration of the forearm that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as accidents or falls, where sharp objects penetrate the skin and underlying tissues. The forearm consists of two long bones, the radius and ulna, which can also be affected during such injuries. The presence of a foreign body can lead to complications such as infection, delayed healing, or even compartment syndrome, where increased pressure within the muscle compartments can compromise blood flow and tissue viability. Treatment often involves surgical intervention to remove the foreign body, repair the laceration, and assess for any associated fractures or injuries to the radius or ulna. Proper documentation is crucial, as it must detail the nature of the laceration, the type of foreign body, and any additional injuries sustained, such as fractures or nerve damage. The complexity of coding this condition lies in accurately capturing all aspects of the injury and its treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury.
  • Potential for associated fractures (elbow, radius, ulna).
  • Risk of compartment syndrome requiring urgent intervention.
  • Need for detailed documentation of surgical procedures.

Audit Risk Factors

  • Inadequate documentation of the foreign body type.
  • Failure to document associated fractures or injuries.
  • Lack of clarity on the surgical procedure performed.
  • Misclassification of the injury severity.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with traumatic forearm injuries, often requiring surgical intervention.

Billing Considerations

Ensure all associated injuries are documented to support coding for multiple procedures.

Emergency Medicine

Documentation Requirements

Thorough assessment notes including mechanism of injury, initial treatment provided, and any imaging results.

Common Clinical Scenarios

Patients with acute forearm injuries from accidents or sports.

Billing Considerations

Document the urgency of the situation, especially if compartment syndrome is suspected.

Coding Guidelines

Inclusion Criteria

Use S51.82 When
  • According to ICD
  • 10 guidelines, S51
  • 82 should be used when a laceration of the forearm is accompanied by a foreign body
  • Coders must ensure that the documentation supports the presence of the foreign body and any associated injuries

Exclusion Criteria

Do NOT use S51.82 When
  • Exclusions include lacerations without foreign bodies or those that do not involve the forearm

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

Simple repair of laceration, forearm

Clinical Scenario

Used when the laceration is repaired without complications.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Orthopedic surgeons may need to document additional procedures if fractures are involved.

20680CPT Code

Arthrocentesis, aspiration of a major joint or bursa

Clinical Scenario

May be used if there is suspicion of joint involvement or fluid accumulation.

Documentation Requirements

Document the indication for the procedure and the findings.

Specialty Considerations

Emergency physicians should document the urgency and rationale for 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. This specificity helps in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

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 helps in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 a laceration with a foreign body?

Documentation should include the mechanism of injury, type and size of the foreign body, details of the laceration, any associated fractures, and the treatment provided.