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ICD-10 Guide
ICD-10 CodesS01.14

S01.14

Billable

Puncture wound with foreign body of eyelid and periocular area

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

Code Description

ICD-10 S01.14 is a billable code used to indicate a diagnosis of puncture wound with foreign body of eyelid and periocular area.

Key Diagnostic Point:

A puncture wound with a foreign body in the eyelid and periocular area typically occurs when a sharp object penetrates the skin around the eye, potentially introducing foreign materials such as metal, glass, or wood. This type of injury can arise from various incidents, including accidents involving tools, sports injuries, or assaults. Clinically, patients may present with localized pain, swelling, and redness around the eyelid, along with possible foreign body sensation. The presence of a foreign body can lead to further complications, such as infection, inflammation, or damage to the underlying structures of the eye. Prompt evaluation is essential to assess the extent of the injury, determine the need for foreign body removal, and initiate appropriate treatment to prevent complications. Diagnostic imaging may be required to locate the foreign body, especially if it is not visible externally. Management often involves careful cleaning of the wound, removal of the foreign body, and possibly suturing if the wound is deep. Antibiotic prophylaxis may be indicated to prevent infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the foreign body type and location
  • Differentiation between puncture wounds and other types of injuries
  • Potential for associated eye injuries requiring additional coding
  • Variability in clinical presentation and management based on foreign body type

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of foreign body present
  • Misclassification of the injury type (e.g., puncture vs. laceration)
  • Omission of associated eye injuries in coding

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, foreign body type, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents, sports injuries, or assaults requiring urgent care.

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 procedure for foreign body removal, including any complications encountered.

Common Clinical Scenarios

Surgical intervention for deep puncture wounds with foreign bodies that require exploration and repair.

Billing Considerations

Accurate coding requires clear documentation of the surgical approach and any additional procedures performed.

Coding Guidelines

Inclusion Criteria

Use S01.14 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the injury and any associated conditions
  • Document the mechanism of injury and the presence of foreign bodies accurately

Exclusion Criteria

Do NOT use S01.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

65205CPT Code

Removal of foreign body from eyelid

Clinical Scenario

Used when a foreign body is removed from the eyelid during a procedure.

Documentation Requirements

Operative report detailing the 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 puncture wounds with foreign bodies, which enhances the accuracy of clinical data and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances the accuracy of clinical data and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 a puncture wound and a laceration?

A puncture wound is a 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 jagged or irregular. Accurate coding requires distinguishing between these two types of injuries.