Open wound of pharynx and cervical esophagus
ICD-10 S11.2 is a billable code used to indicate a diagnosis of open wound of pharynx and cervical esophagus.
An open wound of the pharynx and cervical esophagus refers to a traumatic injury that results in a breach of the mucosal lining of these structures. This type of injury can occur due to various mechanisms, including penetrating trauma from sharp objects, gunshot wounds, or surgical complications. The pharynx serves as a pathway for both air and food, while the cervical esophagus is the upper part of the esophagus that connects the throat to the stomach. Injuries to these areas can lead to significant complications, including airway obstruction, aspiration pneumonia, and mediastinitis. Clinical presentation may include severe pain, difficulty swallowing (dysphagia), and potential signs of infection. Immediate assessment and management are critical to prevent further complications and ensure patient safety.
Documentation must include a thorough assessment of the injury, mechanism of injury, vital signs, and any immediate interventions performed.
Trauma cases involving knife wounds, gunshot wounds, or accidental injuries leading to open wounds in the pharynx or cervical esophagus.
Emergency providers should document any airway management performed, as this can impact coding and billing.
Operative reports must detail the surgical approach, findings, and any repairs made to the pharynx or esophagus.
Surgical management of traumatic injuries or complications from foreign body removal.
Surgeons should ensure that the documentation reflects the complexity of the procedure and any postoperative care provided.
Used when a surgical repair is performed following an open wound of the pharynx.
Operative report detailing the nature of the injury and repair performed.
Surgeons should document any complications encountered during the procedure.
The primary concern is the risk of airway obstruction and infection, which can lead to serious complications if not managed promptly.
