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ICD-10 Guide
ICD-10 CodesS11.14

S11.14

Billable

Puncture wound with foreign body of thyroid gland

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

Code Description

ICD-10 S11.14 is a billable code used to indicate a diagnosis of puncture wound with foreign body of thyroid gland.

Key Diagnostic Point:

A puncture wound with a foreign body of the thyroid gland typically occurs when a sharp object penetrates the skin and underlying tissues, reaching the thyroid gland. This type of injury can result from various incidents, including accidents with sharp instruments, falls, or intentional harm. The thyroid gland, located in the anterior neck, is highly vascular and sensitive, making such injuries potentially serious. Clinical presentation may include localized pain, swelling, and signs of infection. Diagnosis involves a thorough physical examination, imaging studies such as ultrasound or CT scans to assess the extent of the injury and the presence of foreign bodies, and laboratory tests to evaluate thyroid function. Management may require surgical intervention to remove the foreign body, repair the wound, and address any complications such as bleeding or infection. Prompt treatment is crucial to prevent long-term damage to the thyroid gland and surrounding structures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the mechanism of injury
  • Differentiation between puncture wounds and other types of injuries
  • Potential for associated complications requiring additional coding
  • Variability in clinical presentation and management approaches

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document the presence of a foreign body
  • Misclassification of the injury type (e.g., puncture vs. laceration)
  • Lack of imaging results in the medical record

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with stab wounds, accidental punctures from tools, or foreign body ingestion leading to thyroid injury.

Billing Considerations

Emergency physicians should ensure that all relevant imaging and lab results are documented to support the diagnosis and treatment plan.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical management of puncture wounds requiring exploration and repair of the thyroid gland.

Billing Considerations

Surgeons should document the extent of the injury and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use S11.14 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, mechanism, and any associated conditions
  • Use additional codes for complications or related injuries as necessary

Exclusion Criteria

Do NOT use S11.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and drainage of abscess

Clinical Scenario

Used when there is an associated abscess formation due to the puncture wound.

Documentation Requirements

Document the size, location, and nature of the abscess, along with the procedure performed.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the puncture wound.

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 the accuracy of medical records and billing.

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 the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 concern with a puncture wound to the thyroid gland?

The primary concern is the potential for significant complications, including hemorrhage, infection, and damage to the thyroid gland, which can affect hormone production and overall metabolic function.