Laceration without foreign body of right eyelid and periocular area
ICD-10 S01.111 is a billable code used to indicate a diagnosis of laceration without foreign body of right eyelid and periocular area.
S01.111 refers to a laceration of the right eyelid and periocular area that does not involve a foreign body. This type of injury is commonly seen in emergency settings and can result from various mechanisms, including blunt trauma, sharp objects, or accidental injuries. The eyelid is a delicate structure, and lacerations can vary in depth and severity, potentially affecting the underlying tissues, including muscles and nerves. Clinical assessment typically involves a thorough examination of the eyelid and surrounding areas to determine the extent of the injury, assess for any associated injuries, and rule out foreign bodies. Management may include wound cleaning, suturing, and possibly referral to an ophthalmologist for further evaluation, especially if there is concern for damage to the eye or surrounding structures. Complications can include infection, scarring, and functional impairment of the eyelid, which may necessitate further surgical intervention. Accurate coding is essential for proper reimbursement and tracking of injury patterns.
Documentation should include a detailed description of the injury, mechanism of injury, and any immediate treatment provided.
Patients presenting with lacerations from falls, sports injuries, or accidents involving sharp objects.
Ensure that the documentation clearly states the absence of foreign bodies and any potential complications.
Operative reports must detail the surgical approach, any repairs performed, and post-operative care.
Surgical repair of eyelid lacerations requiring suturing or reconstruction.
Document any additional procedures performed, such as eyelid reconstruction or repair of underlying structures.
Used when the laceration requires suturing.
Operative notes must detail the repair procedure and any complications.
Ensure that the procedure is documented in accordance with surgical standards.
S01.111 is used for lacerations without foreign bodies, while S01.112 is for lacerations that involve foreign bodies. Accurate documentation is crucial to determine the correct code.
