Puncture wound without foreign body of unspecified eyelid and periocular area
ICD-10 S01.139 is a billable code used to indicate a diagnosis of puncture wound without foreign body of unspecified eyelid and periocular area.
A puncture wound of the eyelid and periocular area is characterized by a sharp object penetrating the skin without leaving a foreign body. This type of injury can occur due to various mechanisms, including accidental trauma from sharp objects, animal bites, or self-inflicted injuries. The eyelid and surrounding areas are particularly vulnerable due to their thin skin and proximity to the eye, making prompt assessment and management crucial to prevent complications such as infection, scarring, or damage to the eye itself. Clinical evaluation typically involves a thorough history and physical examination, focusing on the depth of the wound, associated symptoms, and potential complications. Management may include cleaning the wound, suturing if necessary, and administering tetanus prophylaxis. Follow-up care is essential to monitor for signs of infection or other complications. Accurate coding requires careful documentation of the injury mechanism, treatment provided, and any associated injuries.
Documentation must include a detailed account of the injury mechanism, assessment findings, and treatment provided, including any imaging or consultations.
Patients presenting with puncture wounds from accidents, animal bites, or self-inflicted injuries requiring immediate care.
Consideration of potential eye involvement and the need for ophthalmology consultation in cases of deep puncture wounds.
Operative notes should detail the surgical approach, any repairs performed, and post-operative care instructions.
Surgical intervention for deep puncture wounds requiring repair or exploration to assess for foreign bodies.
Documentation must reflect the complexity of the surgical procedure and any complications encountered.
Used when a puncture wound requires suturing.
Operative notes must detail the repair process and any complications.
Emergency and surgical specialties must ensure accurate coding of the procedure performed.
A puncture wound is caused by a sharp object penetrating the skin without cutting it, while a laceration involves a tear or cut in the skin.
