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ICD-10 Guide
ICD-10 CodesS51.821

S51.821

Billable

Laceration with foreign body of right forearm

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

Code Description

ICD-10 S51.821 is a billable code used to indicate a diagnosis of laceration with foreign body of right forearm.

Key Diagnostic Point:

S51.821 refers to a laceration of the right forearm that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as accidents involving sharp objects, machinery, or falls. The laceration may penetrate the skin and underlying tissues, potentially affecting muscles, tendons, and nerves. The presence of a foreign body, such as glass, metal, or wood, can complicate the injury, leading to increased risk of infection, delayed healing, and the need for surgical intervention. In cases where the foreign body is not removed, it may lead to chronic pain or further complications. The management of this condition often involves thorough cleaning of the wound, removal of the foreign body, and possibly suturing the laceration. In severe cases, orthopedic fixation procedures may be necessary if there is associated fracture or significant soft tissue injury. Proper documentation is crucial to capture the extent of the injury, the nature of the foreign body, and any additional procedures performed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates coding and treatment.
  • Potential for associated injuries (e.g., fractures, nerve damage).
  • Variability in documentation based on the severity of the laceration.
  • Need for surgical intervention may require additional coding.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to document associated injuries or complications.
  • Misclassification of the laceration severity.
  • Lack of clarity on the treatment provided (e.g., surgical vs. conservative).

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, including the type of foreign body, method of removal, and any fixation procedures performed.

Common Clinical Scenarios

Management of lacerations with foreign bodies requiring surgical intervention, treatment of associated fractures.

Billing Considerations

Ensure accurate coding of any additional procedures performed, such as fixation or repair of associated injuries.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including mechanism of injury, foreign body identification, and immediate treatment provided.

Common Clinical Scenarios

Initial evaluation and management of traumatic lacerations with foreign bodies, stabilization of patients before transfer to surgery.

Billing Considerations

Document the urgency of the situation and any immediate interventions performed to justify the level of care.

Coding Guidelines

Inclusion Criteria

Use S51.821 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring specificity regarding the location of the laceration and the presence of the foreign body
  • Include any associated injuries or complications in coding

Exclusion Criteria

Do NOT use S51.821 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

Simple repair of laceration, face, ears, eyelids, scalp; 2.5 cm or less

Clinical Scenario

Used for simple laceration repairs without foreign bodies.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may also perform these repairs if associated with fractures.

20680CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

May be used if joint involvement is suspected due to the laceration.

Documentation Requirements

Document the joint involved and the reason for the procedure.

Specialty Considerations

Relevant for orthopedic specialists managing joint-related complications.

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 the differentiation of lacerations with and without foreign bodies, which enhances the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including the differentiation of lacerations with and without foreign bodies, which enhances the accuracy of patient records and billing.

Reimbursement & Billing Impact

billing.

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 difference between S51.821 and S51.81?

S51.821 indicates a laceration with a foreign body present, while S51.81 refers to a laceration without any foreign body. The presence of a foreign body complicates the injury and requires additional documentation and management.