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ICD-10 Guide
ICD-10 CodesS01.121

S01.121

Billable

Laceration with foreign body of right eyelid and periocular area

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

Code Description

ICD-10 S01.121 is a billable code used to indicate a diagnosis of laceration with foreign body of right eyelid and periocular area.

Key Diagnostic Point:

S01.121 refers to a laceration of the right eyelid and periocular area that is complicated by the presence of a foreign body. This type of injury often occurs due to trauma from sharp objects, such as glass, metal, or wood, which can penetrate the delicate tissues surrounding the eye. The eyelid serves as a protective barrier for the eye, and any laceration can lead to significant complications, including infection, scarring, and potential damage to the underlying structures, such as the conjunctiva or cornea. The presence of a foreign body complicates the injury, as it may require surgical intervention for removal and can increase the risk of infection. Clinically, patients may present with pain, swelling, and bleeding in the affected area, and a thorough examination is necessary to assess the extent of the injury and the nature of the foreign body. Management typically involves cleaning the wound, removing the foreign body, and possibly suturing the laceration, along with appropriate follow-up care to monitor for complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates coding and management.
  • Requires detailed documentation of the injury mechanism.
  • Potential for multiple procedures or interventions.
  • Need for accurate anatomical localization.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to specify the mechanism of injury.
  • Misclassification of the injury severity.
  • Inconsistent coding of follow-up visits related to the injury.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed description of the injury, mechanism of injury, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, fights, or sports injuries.

Billing Considerations

Ensure that all foreign bodies are documented, including size and type, as this impacts treatment and coding.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, foreign body removal, and any reconstruction performed.

Common Clinical Scenarios

Surgical repair of eyelid lacerations with foreign body removal.

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S01.121 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the injury's specifics, including the presence of a foreign body and the anatomical site involved

Exclusion Criteria

Do NOT use S01.121 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 performing a simple repair of the laceration after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of the repair.

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 the differentiation of lacerations with and without foreign bodies, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including the differentiation of lacerations with and without foreign bodies, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including the differentiation of lacerations with and without foreign bodies, which enhances data accuracy and improves patient care tracking.

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 importance of documenting the foreign body?

Documenting the foreign body is crucial as it affects the treatment plan, potential complications, and the accuracy of coding. It ensures that the coding reflects the complexity of the injury and supports appropriate reimbursement.