Puncture wound without foreign body of left eyelid and periocular area
ICD-10 S01.132 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left eyelid and periocular area.
A puncture wound of the left eyelid and periocular area is characterized by a small, deep wound caused by a sharp object that penetrates the skin without leaving a foreign body. This type of injury can occur from various mechanisms, including accidental injuries from sharp tools, animal bites, or self-inflicted injuries. Clinically, puncture wounds can lead to complications such as infection, bleeding, and damage to underlying structures, including the eyelid, conjunctiva, and even the globe of the eye. The absence of a foreign body is crucial in differentiating this injury from other types of wounds that may require different management strategies. Diagnosis typically involves a thorough history and physical examination, focusing on the mechanism of injury and the extent of damage. Management may include cleaning the wound, tetanus prophylaxis, and, in some cases, surgical intervention to repair any damage to the eyelid or surrounding tissues. Follow-up care is essential to monitor for signs of infection or other complications.
Complete documentation of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with puncture wounds from accidents, fights, or animal bites.
Ensure that the documentation reflects the urgency of care and any immediate interventions performed.
Detailed operative notes if surgical intervention is performed, including the extent of repair and any complications.
Surgical repair of eyelid lacerations or puncture wounds requiring closure.
Document any additional procedures performed, such as foreign body removal if applicable.
Used when the puncture wound requires closure.
Operative notes detailing the repair process and any complications.
Ensure that the repair is documented as a separate procedure if performed.
A puncture wound is a small, deep wound caused by a sharp object that penetrates the skin, while a laceration is a tear or cut in the skin that may be more extensive and irregular.
