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ICD-10 Guide
ICD-10 CodesS11.024

S11.024

Billable

Puncture wound with foreign body of trachea

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

Code Description

ICD-10 S11.024 is a billable code used to indicate a diagnosis of puncture wound with foreign body of trachea.

Key Diagnostic Point:

A puncture wound with a foreign body of the trachea refers to an injury where an object penetrates the tracheal wall, potentially causing airway obstruction, bleeding, or infection. This type of injury can occur due to various mechanisms, including penetrating trauma from sharp objects, gunshot wounds, or impalement injuries. Clinical presentation may include difficulty breathing, stridor, coughing up blood, or the presence of a foreign body on imaging studies. Diagnosis typically involves a thorough history and physical examination, along with imaging studies such as X-rays or CT scans to assess the extent of the injury and the presence of foreign bodies. Management often requires surgical intervention to remove the foreign body, repair the trachea, and ensure airway patency. Complications can include tracheal stenosis, recurrent respiratory infections, or the development of a tracheoesophageal fistula. Prompt recognition and treatment are critical to prevent serious outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the mechanism of injury
  • Differentiation between types of foreign bodies
  • Potential for associated injuries in the neck or chest
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the mechanism of injury
  • Lack of clarity on the extent of the injury
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed documentation of the patient's presentation, mechanism of injury, and initial management steps.

Common Clinical Scenarios

Trauma cases involving knife wounds, gunshot wounds, or accidental punctures.

Billing Considerations

Ensure that all relevant details about the injury and foreign body are documented to support coding.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, foreign body removal, and any repairs performed.

Common Clinical Scenarios

Surgical intervention for tracheal repair following a puncture wound.

Billing Considerations

Accurate coding requires clear documentation of the surgical procedure and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S11.024 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the patient's condition and that all relevant details are documented
  • Use additional codes as necessary to capture associated injuries or complications

Exclusion Criteria

Do NOT use S11.024 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31601CPT Code

Bronchoscopy, rigid or flexible, diagnostic

Clinical Scenario

Used when a foreign body is suspected in the trachea and requires visualization.

Documentation Requirements

Document the indication for bronchoscopy and findings.

Specialty Considerations

Emergency medicine and surgery may both utilize this 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 puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

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 primary documentation needed for coding S11.024?

The primary documentation includes the mechanism of injury, presence of a foreign body, and any associated injuries or complications.