Laceration with foreign body of unspecified part of head
ICD-10 S01.92 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified part of head.
S01.92 refers to a laceration of the head that is complicated by the presence of a foreign body. This injury can occur due to various mechanisms, including blunt trauma, sharp objects, or accidents involving machinery. The foreign body may be a fragment of glass, metal, or other materials that penetrate the skin and underlying tissues. Clinically, such injuries can lead to significant complications, including infection, delayed healing, and potential damage to underlying structures such as nerves or blood vessels. The diagnosis typically involves a thorough physical examination, imaging studies if necessary, and careful assessment of the foreign body’s nature and location. Management often requires surgical intervention to remove the foreign body and repair the laceration, ensuring that all debris is cleared to prevent infection. Proper documentation of the injury's mechanism, the type of foreign body, and the treatment provided is essential for accurate coding and billing.
Documentation must include a detailed account of the injury mechanism, the type of foreign body, and any immediate interventions performed.
Patients presenting with lacerations from accidents, falls, or assaults where foreign bodies are involved.
Emergency providers should ensure that all findings are documented, including imaging results if foreign body location is unclear.
Operative reports must detail the procedure for foreign body removal, including any complications encountered during surgery.
Surgical management of lacerations with embedded foreign bodies requiring exploration and repair.
Surgeons should document the size, location, and nature of the foreign body, as well as the surgical approach taken.
Used when performing a simple repair of a laceration with foreign body removal.
Operative report must detail the procedure and any foreign body removed.
Ensure that the CPT code reflects the complexity of the repair based on the size and depth of the laceration.
Documentation should include the mechanism of injury, type and location of the foreign body, treatment provided, and any complications encountered.
