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ICD-10 Guide
ICD-10 CodesS01.431

S01.431

Billable

Puncture wound without foreign body of right cheek and temporomandibular area

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

Code Description

ICD-10 S01.431 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right cheek and temporomandibular area.

Key Diagnostic Point:

A puncture wound is a type of injury that occurs when a sharp object penetrates the skin, creating a small hole. In the case of S01.431, the wound is located specifically in the right cheek and temporomandibular area, which is the region surrounding the jaw joint. This type of injury can result from various mechanisms, including animal bites, falls, or accidents involving sharp objects. The absence of a foreign body indicates that the wound does not contain any embedded objects, which can complicate healing and increase the risk of infection. Clinically, puncture wounds can lead to localized swelling, pain, and potential complications such as infection or damage to underlying structures, including nerves and blood vessels. Proper assessment and management are crucial to prevent complications and ensure optimal healing. Treatment typically involves cleaning the wound, possibly suturing if the wound is deep, and monitoring for signs of infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of location (right cheek and temporomandibular area)
  • Differentiation from other types of facial injuries
  • Assessment of potential complications (e.g., nerve damage)
  • Documentation of absence of foreign body

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the absence of foreign body
  • Misclassification of the injury type (e.g., coding as a laceration)
  • Lack of follow-up documentation for complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the injury mechanism, treatment provided, and follow-up care.

Common Clinical Scenarios

Patients presenting with puncture wounds from animal bites or sharp objects.

Billing Considerations

Ensure that the documentation clearly states the absence of foreign bodies and any potential complications.

Surgery

Documentation Requirements

Detailed operative notes, including the extent of the injury and any surgical interventions performed.

Common Clinical Scenarios

Surgical repair of puncture wounds that require suturing or debridement.

Billing Considerations

Document any findings related to underlying structures and the need for further intervention.

Coding Guidelines

Inclusion Criteria

Use S01.431 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario and that all documentation supports the diagnosis

Exclusion Criteria

Do NOT use S01.431 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the puncture wound requires suturing.

Documentation Requirements

Operative notes detailing the repair procedure.

Specialty Considerations

Ensure that the procedure is documented in accordance with surgical standards.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, which can improve the accuracy of claims and enhance patient care through better data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, which can improve the accuracy of claims and enhance patient care through better data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, which can improve the accuracy of claims and enhance patient care through better data collection.

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.