Puncture wound without foreign body of thyroid gland
ICD-10 S11.13 is a billable code used to indicate a diagnosis of puncture wound without foreign body of thyroid gland.
A puncture wound of the thyroid gland occurs when a sharp object penetrates the skin and underlying tissues, specifically affecting the thyroid gland without the presence of a foreign body. This type of injury can result from various mechanisms, including accidental trauma, surgical procedures, or self-inflicted injuries. Clinically, patients may present with localized pain, swelling, and potential bleeding in the neck region. The absence of a foreign body is crucial, as it differentiates this injury from more complex cases that may require additional interventions. Diagnosis typically involves a thorough physical examination, imaging studies such as ultrasound, and possibly laboratory tests to assess thyroid function and rule out complications like hematoma or infection. Management may include wound care, monitoring for complications, and in some cases, surgical intervention if the injury is extensive or if there is significant bleeding. Complications can include infection, hematoma formation, or damage to surrounding structures, necessitating careful monitoring and follow-up.
Documentation must include details of the injury mechanism, examination findings, and any immediate interventions performed.
Patients presenting with neck trauma from accidents or self-harm, requiring urgent assessment and management.
Emergency providers should ensure that all relevant details are captured to support the diagnosis and any procedures performed.
Operative reports should detail the surgical approach, findings, and any complications encountered during the procedure.
Surgical repair of a puncture wound or exploration for potential complications such as hematoma or infection.
Surgeons must document the extent of the injury and any associated procedures to ensure accurate coding.
Used if the puncture wound leads to an abscess requiring drainage.
Document the size, location, and nature of the abscess.
Ensure that the procedure is clearly linked to the diagnosis of the puncture wound.
S11.13 is used for puncture wounds of the thyroid gland without foreign bodies, while S11.12 is for those with foreign bodies present. Accurate documentation is essential to determine which code to use.
