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ICD-10 Guide
ICD-10 CodesS01.521

S01.521

Billable

Laceration with foreign body of lip

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

Code Description

ICD-10 S01.521 is a billable code used to indicate a diagnosis of laceration with foreign body of lip.

Key Diagnostic Point:

S01.521 refers to a laceration of the lip that is complicated by the presence of a foreign body. This type of injury typically occurs due to trauma, such as cuts from sharp objects, bites, or accidents involving foreign materials. The presence of a foreign body can complicate the healing process and may require additional interventions to remove the object and properly repair the laceration. Clinically, patients may present with pain, swelling, and bleeding at the site of injury. The foreign body may be visible or may require imaging studies to identify. Management often involves thorough cleaning of the wound, removal of the foreign body, and suturing if necessary. Complications can include infection, delayed healing, and scarring. Accurate coding is essential for proper treatment documentation and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Need for detailed documentation of the foreign body type and location
  • Potential for multiple procedures (removal and repair)
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document the mechanism of injury
  • Misclassification of the laceration severity
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed description of the injury, mechanism of injury, foreign body identification, and treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, fights, or animal bites where foreign bodies are involved.

Billing Considerations

Ensure that all aspects of the injury and treatment are documented to support the complexity of the case.

Surgery

Documentation Requirements

Operative reports should detail the procedure for foreign body removal and laceration repair, including any complications encountered.

Common Clinical Scenarios

Surgical intervention for deep lacerations with embedded foreign bodies requiring exploration and repair.

Billing Considerations

Document the surgical approach and any additional procedures performed to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use S01.521 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the diagnosis and any associated procedures
  • Documentation must support the complexity of the injury and any foreign bodies present

Exclusion Criteria

Do NOT use S01.521 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when a simple repair is performed after foreign body removal.

Documentation Requirements

Document the extent of the laceration and the foreign body removal.

Specialty Considerations

Emergency and surgical specialties must ensure accurate reporting of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, improving the accuracy of medical records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, improving the accuracy of medical records 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 should be documented for S01.521?

Documentation should include the mechanism of injury, type of foreign body, treatment provided, and any complications encountered during care.