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ICD-10 Guide
ICD-10 CodesS01.432

S01.432

Billable

Puncture wound without foreign body of left cheek and temporomandibular area

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

Code Description

ICD-10 S01.432 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left cheek and temporomandibular area.

Key Diagnostic Point:

A puncture wound is a type of injury that occurs when a pointed object penetrates the skin, creating a small hole. In the case of S01.432, the injury is localized to the left cheek and temporomandibular area, which includes the joint connecting the jawbone to the skull. This type of wound can result from various incidents, including animal bites, falls, or accidents involving sharp objects. Clinical presentation may include localized pain, swelling, and potential bleeding. Importantly, this code specifies 'without foreign body,' indicating that there is no retained object within the wound, which can complicate healing and increase infection risk. The management of such wounds typically involves thorough cleaning, possible suturing, and monitoring for signs of infection. Given the anatomical complexity of the facial region, particularly around the temporomandibular joint, careful assessment is crucial to avoid complications such as joint dysfunction or nerve damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Anatomical specificity of the injury site
  • Potential for associated complications
  • Differentiation from similar codes (e.g., with foreign body)
  • Need for detailed documentation of injury mechanism

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the absence of a foreign body
  • Misclassification of the injury site
  • Lack of follow-up documentation for complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation should include a detailed account of the injury mechanism, initial assessment findings, and treatment provided.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the absence of foreign bodies is clearly documented to avoid misclassification.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, any complications encountered, and post-operative care.

Common Clinical Scenarios

Surgical intervention for deep puncture wounds that may involve repair of underlying structures.

Billing Considerations

Document any additional procedures performed to address complications or associated injuries.

Coding Guidelines

Inclusion Criteria

Use S01.432 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring specificity in the documentation of the injury site and mechanism
  • Use additional codes as necessary to capture any associated complications

Exclusion Criteria

Do NOT use S01.432 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of face, ears, eyelids, scalp

Clinical Scenario

Used when the puncture wound requires suturing or closure.

Documentation Requirements

Document the size of the wound, location, and method of closure.

Specialty Considerations

Ensure that the procedure is clearly 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. This specificity aids in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding injuries, including puncture wounds. This specificity aids in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding injuries, including puncture wounds. This specificity aids in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

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 S01.432 and S01.431?

S01.432 is used for puncture wounds without foreign bodies, while S01.431 is for those with foreign bodies present. Accurate documentation of the presence or absence of foreign bodies is crucial for correct coding.