Puncture wound without foreign body of vocal cord
ICD-10 S11.033 is a billable code used to indicate a diagnosis of puncture wound without foreign body of vocal cord.
A puncture wound of the vocal cord is a specific type of injury characterized by a breach in the integrity of the vocal cord tissue without the presence of a foreign body. This injury can occur due to various mechanisms, including trauma from sharp objects, accidental injury during medical procedures (such as intubation), or self-inflicted wounds. Clinically, patients may present with symptoms such as hoarseness, difficulty breathing, or stridor, depending on the severity of the injury. Diagnosis typically involves a thorough history and physical examination, often supplemented by laryngoscopy to visualize the vocal cords and assess the extent of the injury. Management may include observation, voice rest, and in some cases, surgical intervention to repair the vocal cords if significant damage is present. Complications can include scarring, chronic hoarseness, or airway obstruction, necessitating careful monitoring and follow-up.
Detailed documentation of the injury mechanism, patient symptoms, and initial management steps.
Trauma cases involving sharp objects, accidental intubation injuries.
Ensure that the mechanism of injury is clearly documented to support the coding choice.
Operative reports must detail the surgical approach, findings, and any repairs made to the vocal cords.
Surgical intervention for significant vocal cord injuries or repair after trauma.
Document any pre-existing conditions that may affect healing or recovery.
Used when intubation is performed due to airway compromise from a vocal cord injury.
Document the indication for intubation and any complications encountered.
Emergency medicine providers should ensure that the reason for intubation is clearly linked to the injury.
The primary mechanism of injury for S11.033 is typically a sharp object causing a puncture wound to the vocal cord, which may occur accidentally or during medical procedures.
