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ICD-10 Guide
ICD-10 CodesS01.142

S01.142

Billable

Puncture wound with foreign body of left eyelid and periocular area

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

Code Description

ICD-10 S01.142 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left eyelid and periocular area.

Key Diagnostic Point:

A puncture wound with a foreign body in the left eyelid and periocular area typically occurs when a sharp object penetrates the skin, potentially introducing foreign material into the tissue. This type of injury can result from various incidents, including accidents involving tools, glass, or other sharp objects. Clinically, patients may present with localized pain, swelling, and redness around the eyelid, along with potential foreign body sensation. The presence of a foreign body can lead to complications such as infection, inflammation, or damage to the underlying structures of the eye. Diagnosis involves a thorough clinical examination, often supplemented by imaging studies if the foreign body is not visible. Management may include careful removal of the foreign body, wound cleaning, and possibly suturing if the wound is deep. Antibiotic prophylaxis may be indicated to prevent infection, especially if the foreign body is contaminated. Follow-up care is essential to monitor for complications such as infection or delayed healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation should include a detailed account of the injury mechanism, examination findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents, such as a child getting poked in the eye with a stick.

Billing Considerations

Ensure that any foreign body removal is documented, including the method and any complications encountered.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any foreign body removal techniques used.

Common Clinical Scenarios

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

Billing Considerations

Document any additional procedures performed, such as repair of the eyelid or surrounding structures.

Coding Guidelines

Inclusion Criteria

Use S01.142 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring specificity in the location and nature of the injury
  • Document the mechanism of injury and any foreign bodies present

Exclusion Criteria

Do NOT use S01.142 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 findings.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the puncture wound.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding injuries, including puncture wounds with foreign bodies. This has improved the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding injuries, including puncture wounds with foreign bodies. This has improved the accuracy of data collection 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 small hole caused by a sharp object penetrating the skin, while a laceration is a tear or cut in the skin that may be deeper and wider.