Laceration without foreign body of oral cavity
ICD-10 S01.512 is a billable code used to indicate a diagnosis of laceration without foreign body of oral cavity.
S01.512 refers to a laceration of the oral cavity that does not involve any foreign body. This type of injury can occur due to various mechanisms, including falls, sports injuries, or accidents involving sharp objects. Clinically, it presents as a break in the mucosal surface of the oral cavity, which may involve the lips, tongue, or inner cheeks. Symptoms can include pain, swelling, and bleeding. The absence of a foreign body is crucial for this code, as the presence of one would necessitate a different coding approach. Diagnosis typically involves a thorough clinical examination, possibly supplemented by imaging if deeper structures are suspected to be involved. Management may include cleaning the wound, suturing if necessary, and providing pain relief. Complications can arise, such as infection or delayed healing, particularly in cases of poor oral hygiene or underlying health conditions. Accurate coding requires careful documentation of the injury mechanism, location, and any associated treatments.
Documentation must include a detailed account of the injury mechanism, examination findings, and treatment provided.
Patients presenting with lacerations from falls, sports injuries, or accidents.
Ensure that the absence of foreign bodies is clearly documented to avoid misclassification.
Operative notes should detail the extent of the laceration, any repairs performed, and post-operative care.
Surgical repair of lacerations requiring suturing or other interventions.
Document any complications or additional procedures performed during surgery.
Used for suturing a laceration in the oral cavity.
Operative notes must detail the extent of the laceration and the repair performed.
Ensure that the procedure is linked to the correct diagnosis code.
Document the mechanism of injury, the specific location of the laceration, any treatment provided, and the absence of foreign bodies.
