Puncture wound with foreign body of unspecified eyelid and periocular area
ICD-10 S01.149 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified eyelid and periocular area.
A puncture wound with a foreign body in the eyelid or periocular area is a specific type of injury that occurs when a sharp object penetrates the skin of the eyelid or the surrounding area of the eye. This injury can result from various mechanisms, including accidents involving sharp tools, glass, or metal objects. The presence of a foreign body can complicate the injury, leading to potential infections, inflammation, or damage to the ocular structures. Clinically, patients may present with localized pain, swelling, and redness around the eyelid, along with possible visual disturbances if the foreign body is near the eye. Diagnosis typically involves a thorough history and physical examination, often supplemented by imaging studies to assess the extent of the injury and the presence of any retained foreign material. Management may include removal of the foreign body, wound care, and possibly antibiotic therapy to prevent infection. Prompt and appropriate treatment is crucial to minimize complications such as scarring, chronic pain, or vision loss.
Documentation must include a detailed account of the injury mechanism, foreign body identification, and initial treatment provided.
Patients presenting with puncture wounds from accidents, such as a nail or glass shard, requiring immediate evaluation and management.
Ensure that all relevant details about the injury and treatment are documented to support the coding and billing process.
Operative reports should detail the procedure for foreign body removal, including any complications encountered during surgery.
Surgical intervention for foreign body removal in cases where the object is embedded or causing significant damage.
Accurate coding requires clear documentation of the surgical approach and any additional procedures performed.
Used when a foreign body is removed from the eyelid during a procedure.
Operative report must detail the procedure and any complications.
Ensure that the procedure is linked to the diagnosis of the puncture wound.
Documentation should include the mechanism of injury, type of foreign body, location of the wound, treatment provided, and any follow-up care.
