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ICD-10 Guide
ICD-10 CodesS51.83

S51.83

Billable

Puncture wound without foreign body of forearm

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

Code Description

ICD-10 S51.83 is a billable code used to indicate a diagnosis of puncture wound without foreign body of forearm.

Key Diagnostic Point:

A puncture wound without foreign body of the forearm is a type of injury characterized by a small, deep wound caused by a sharp object penetrating the skin and underlying tissues. Unlike lacerations, puncture wounds are typically narrow and can be deceptively deep, potentially affecting muscles, tendons, and nerves. In the forearm, such injuries may occur due to various incidents, including accidents with sharp tools, animal bites, or falls onto sharp objects. The absence of a foreign body indicates that the wound does not contain any external material that could complicate healing or increase the risk of infection. Clinically, these wounds require careful assessment to rule out damage to underlying structures, such as the radius and ulna bones, and to monitor for complications like compartment syndrome, which can arise from swelling and increased pressure within the muscle compartments of the forearm. Treatment often involves cleaning the wound, possibly suturing, and monitoring for signs of infection or other complications. In some cases, orthopedic fixation procedures may be necessary if there is associated fracture or significant soft tissue injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between puncture wounds and other types of wounds.
  • Assessing for associated injuries to bones and soft tissues.
  • Monitoring for complications such as compartment syndrome.
  • Understanding the implications of treatment options, including surgical interventions.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to document associated injuries or complications.
  • Misclassification of the wound type.
  • Lack of follow-up documentation regarding healing or complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, assessment of associated fractures, and treatment plan.

Common Clinical Scenarios

Puncture wounds leading to fractures of the radius or ulna, requiring surgical intervention.

Billing Considerations

Ensure documentation reflects any orthopedic fixation procedures performed.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the wound, including depth, location, and any signs of infection.

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources, including animal bites or accidents.

Billing Considerations

Document any immediate interventions and follow-up care instructions.

Coding Guidelines

Inclusion Criteria

Use S51.83 When
  • Follow the official ICD
  • CM guidelines for coding injuries, ensuring accurate documentation of the injury's nature, location, and any associated complications
  • Include details about the treatment provided and any follow
  • up care

Exclusion Criteria

Do NOT use S51.83 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when a puncture wound requires suturing.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures performed.

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 puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

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 a puncture wound and a laceration?

A puncture wound is a small, deep wound caused by a sharp object, while a laceration is a tear or cut in the skin that may be wider and shallower. Puncture wounds can be more serious due to their depth and potential for underlying damage.