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ICD-10 Guide
ICD-10 CodesS81.011

S81.011

Billable

Laceration without foreign body, right knee

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/26/2025

Code Description

ICD-10 S81.011 is a billable code used to indicate a diagnosis of laceration without foreign body, right knee.

Key Diagnostic Point:

S81.011 refers to a laceration of the right knee that does not involve any foreign body. This type of injury typically occurs due to trauma, such as falls, sports injuries, or accidents. The knee is a complex joint composed of bones, ligaments, tendons, and cartilage, making it susceptible to various injuries. A laceration can vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and even deeper structures like ligaments or tendons. Proper assessment is crucial to determine the extent of the injury and the appropriate treatment. Treatment may involve cleaning the wound, suturing, and monitoring for infection. In some cases, associated injuries such as ligament tears or fractures may also be present, necessitating further evaluation and management. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury in the patient's medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in laceration depth and severity
  • Potential for associated injuries (e.g., ligament tears, fractures)
  • Need for detailed documentation of the injury site and treatment
  • Differentiation from similar codes for lacerations in other locations

Audit Risk Factors

  • Inadequate documentation of the injury's extent
  • Failure to note associated injuries
  • Incorrect coding of the laceration depth
  • Lack of clarity on the mechanism of injury

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed descriptions of the injury, treatment provided, and any associated injuries.

Common Clinical Scenarios

Patients presenting with knee lacerations from sports injuries or falls.

Billing Considerations

Documentation should specify the depth of the laceration and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including vital signs and mechanism of injury.

Common Clinical Scenarios

Patients with acute knee injuries presenting to the emergency department.

Billing Considerations

Timely documentation is critical for accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S81.011 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's nature, location, and any associated conditions
  • Include details on treatment provided and any follow
  • up care

Exclusion Criteria

Do NOT use S81.011 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the right knee.

Documentation Requirements

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

Specialty Considerations

Orthopedic specialists may need to provide additional details on the injury.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of medical records and reimbursement processes. S81.011 provides a clear distinction for lacerations without foreign bodies, enhancing clinical documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of medical records and reimbursement processes. S81.011 provides a clear distinction for lacerations without foreign bodies, enhancing clinical documentation.

Reimbursement & Billing Impact

reimbursement processes. S81.011 provides a clear distinction for lacerations without foreign bodies, enhancing clinical documentation.

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 S81.011 and S81.012?

S81.011 is used for lacerations without foreign bodies, while S81.012 is for lacerations that involve a foreign body. Accurate documentation is essential to determine which code to use.