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ICD-10 Guide
ICD-10 CodesS01.112

S01.112

Billable

Laceration without foreign body of left eyelid and periocular area

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S01.112 is a billable code used to indicate a diagnosis of laceration without foreign body of left eyelid and periocular area.

Key Diagnostic Point:

S01.112 refers to a laceration of the left eyelid and periocular area that does not involve any foreign body. This type of injury can occur due to various mechanisms such as blunt trauma, sharp objects, or accidental injuries. The eyelid and surrounding areas are particularly vulnerable due to their anatomical structure and the presence of delicate tissues. Clinically, such lacerations may present with bleeding, swelling, and potential disruption of eyelid function. The periocular area includes the skin surrounding the eye, which may also be affected. Proper assessment is crucial to determine the extent of the injury, including any involvement of deeper structures such as muscles or nerves. Management typically involves cleaning the wound, assessing for any need for sutures, and ensuring that the injury does not compromise vision or eyelid function. Follow-up care is essential to monitor for complications such as infection or scarring.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise anatomical location documentation
  • Differentiation from similar codes for eyelid injuries
  • Assessment of associated injuries to the eye or surrounding structures
  • Potential for complications requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact location of the laceration
  • Misclassification of the injury type (e.g., coding as a foreign body injury)
  • Lack of follow-up documentation indicating resolution or complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed description of the injury, mechanism of injury, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations from falls, sports injuries, or accidents involving sharp objects.

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support the coding.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, any repairs performed, and post-operative care.

Common Clinical Scenarios

Surgical repair of eyelid lacerations requiring suturing or reconstruction.

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S01.112 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the injury's specifics, including laterality and absence of foreign bodies

Exclusion Criteria

Do NOT use S01.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, and scalp

Clinical Scenario

Used when suturing a laceration of the left eyelid.

Documentation Requirements

Operative report detailing the repair procedure and any complications.

Specialty Considerations

Ensure that the procedure is documented in the context of 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, including those of the eyelid and periocular area. This specificity aids in better tracking of injury types and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those of the eyelid and periocular area. This specificity aids in better tracking of injury types and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those of the eyelid and periocular area. This specificity aids in better tracking of injury types and outcomes.

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 S01.112 and S01.111?

S01.112 is used for lacerations without foreign bodies, while S01.111 is for lacerations that involve foreign bodies. Accurate documentation of the injury is essential for correct coding.