Unspecified open wound of right eyelid and periocular area
ICD-10 S01.101 is a billable code used to indicate a diagnosis of unspecified open wound of right eyelid and periocular area.
An unspecified open wound of the right eyelid and periocular area refers to a laceration or break in the skin that affects the eyelid and surrounding tissues without a specific description of the wound's characteristics. This type of injury can occur due to various mechanisms, including trauma from blunt or sharp objects, animal bites, or accidents involving foreign bodies. The periocular area encompasses the skin surrounding the eye, which is particularly sensitive and prone to complications such as infection, scarring, and functional impairment. Clinical evaluation typically involves a thorough history and physical examination to assess the extent of the injury, potential foreign bodies, and associated injuries. Management may include wound cleaning, suturing, and possibly referral to an ophthalmologist for further evaluation, especially if there is concern for ocular involvement. Complications can include delayed healing, infection, and cosmetic deformity, making accurate diagnosis and management crucial.
Documentation should include a detailed description of the injury, mechanism of injury, and any immediate interventions performed.
Trauma cases presenting with lacerations from falls, fights, or accidents.
Consider the need for ophthalmology consultation if there is any suspicion of ocular involvement.
Operative reports must detail the surgical approach, techniques used, and any complications encountered.
Surgical repair of eyelid lacerations requiring suturing or reconstruction.
Ensure that the surgical procedure aligns with the diagnosis for accurate coding.
Used when performing a simple repair of an open wound on the right eyelid.
Document the size of the wound, location, and repair technique used.
Ensure that the procedure aligns with the diagnosis of an open wound.
Document the mechanism of injury, the size and depth of the wound, any foreign bodies present, and the treatment provided, including any referrals to specialists.
