Puncture wound without foreign body, right thigh
ICD-10 S71.131 is a billable code used to indicate a diagnosis of puncture wound without foreign body, right thigh.
A puncture wound without foreign body in the right thigh refers to an injury characterized by a small, deep wound caused by a sharp object that penetrates the skin and underlying tissues but does not introduce any foreign material into the body. This type of injury can occur in various scenarios, including accidents involving sharp tools, animal bites, or falls onto sharp objects. Clinically, puncture wounds can lead to complications such as infection, hematoma formation, or damage to underlying structures like muscles, nerves, and blood vessels. In the context of orthopedic trauma, it is crucial to assess the extent of the injury, as puncture wounds in the thigh may also be associated with deeper injuries to the femur or surrounding soft tissues. Proper management often includes thorough cleaning of the wound, possible suturing, and monitoring for signs of infection. In cases where the puncture wound is associated with significant trauma, further imaging studies may be warranted to rule out fractures or dislocations in the hip or femur region.
Detailed notes on the mechanism of injury, treatment provided, and any imaging studies performed.
Puncture wounds resulting from falls, sports injuries, or accidents involving sharp objects.
Ensure that any associated injuries to the femur or hip are documented and coded appropriately.
Comprehensive assessment of the wound, including size, depth, and any signs of infection.
Patients presenting with puncture wounds from animal bites or industrial accidents.
Document the patient's tetanus status and any prophylactic measures taken.
Used for the repair of a puncture wound without complications.
Document the size of the wound and the method of repair.
Orthopedic surgeons should note any associated injuries.
A puncture wound is a deep, narrow wound caused by a sharp object, while a laceration is a tear or cut in the skin that may be wider and more superficial.
