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ICD-10 Guide
ICD-10 CodesS01.522

S01.522

Billable

Laceration with foreign body of oral cavity

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

Code Description

ICD-10 S01.522 is a billable code used to indicate a diagnosis of laceration with foreign body of oral cavity.

Key Diagnostic Point:

S01.522 refers to a laceration in the oral cavity that is complicated by the presence of a foreign body. This injury can occur due to various mechanisms, including accidental trauma from sharp objects, bites, or falls. The oral cavity is particularly susceptible to lacerations due to its anatomical structure and the presence of numerous sharp-edged teeth. The foreign body may include food particles, dental appliances, or other objects that can cause additional injury or infection. Clinically, patients may present with pain, swelling, bleeding, and difficulty in swallowing or speaking. A thorough examination is essential to assess the extent of the laceration and the nature of the foreign body. Diagnostic imaging may be required to locate the foreign body if it is not visible. Management typically involves cleaning the wound, removing the foreign body, and suturing if necessary. Complications can include infection, abscess formation, or damage to surrounding structures, necessitating careful monitoring and follow-up.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Variety of potential foreign bodies and their implications
  • Need for detailed documentation of the injury mechanism
  • Potential for associated injuries in the oral cavity

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the mechanism of injury
  • Misclassification of the injury severity
  • Omission of associated injuries in the oral cavity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with lacerations from accidents, sports injuries, or self-inflicted wounds.

Billing Considerations

Consideration of potential airway compromise if the foreign body is large or improperly positioned.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, foreign body removal, and any repairs made to the laceration.

Common Clinical Scenarios

Surgical intervention for deep lacerations or those involving significant foreign body retention.

Billing Considerations

Documentation should reflect the complexity of the procedure and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S01.522 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario, including the presence of a foreign body and the mechanism of injury

Exclusion Criteria

Do NOT use S01.522 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the laceration requires suturing or closure.

Documentation Requirements

Document the size of the laceration and the method of closure.

Specialty Considerations

Emergency and surgical specialties may have different documentation needs.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding lacerations, particularly those involving foreign bodies, improving the accuracy of clinical data and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding lacerations, particularly those involving foreign bodies, improving the accuracy of clinical data and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 I document if a foreign body is removed during treatment?

Document the type of foreign body, the method of removal, and any complications encountered during the procedure.