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ICD-10 Guide
ICD-10 CodesS11.22

S11.22

Billable

Laceration with foreign body of pharynx and cervical esophagus

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

Code Description

ICD-10 S11.22 is a billable code used to indicate a diagnosis of laceration with foreign body of pharynx and cervical esophagus.

Key Diagnostic Point:

S11.22 refers to a laceration in the pharynx and cervical esophagus that is complicated by the presence of a foreign body. This injury can occur due to various mechanisms, including accidental ingestion of sharp objects, trauma from external forces, or surgical complications. Patients may present with symptoms such as difficulty swallowing, pain in the throat, and potential signs of infection. The presence of a foreign body can exacerbate the injury, leading to further complications such as perforation, abscess formation, or airway obstruction. Diagnosis typically involves a thorough clinical examination, imaging studies like X-rays or CT scans, and possibly endoscopy to visualize the injury and foreign body. Management may require removal of the foreign body, surgical intervention for repair, and supportive care to address any complications. Accurate coding is essential for proper reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of lacerations and foreign bodies
  • Understanding the anatomical implications of the injury
  • Documenting the mechanism of injury accurately
  • Identifying associated complications that may affect coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the presence of a foreign body
  • Misclassification of the injury severity
  • Lack of detailed operative notes if surgery is performed

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed account of the patient's presentation, mechanism of injury, and initial management.

Common Clinical Scenarios

Patients presenting with accidental ingestion of sharp objects, such as fish bones or glass.

Billing Considerations

Ensure that the foreign body is documented clearly, including its size and location.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, findings, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical intervention for removal of a foreign body lodged in the pharynx or esophagus.

Billing Considerations

Document any repairs made to the laceration and the condition of surrounding tissues.

Coding Guidelines

Inclusion Criteria

Use S11.22 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the patient's condition and any associated complications
  • Documentation must support the diagnosis and any procedures performed

Exclusion Criteria

Do NOT use S11.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

43200CPT Code

Esophagoscopy, rigid or flexible

Clinical Scenario

Used for direct visualization and removal of foreign bodies in the esophagus.

Documentation Requirements

Document the findings of the esophagoscopy and any interventions performed.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of laceration with foreign body.

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 those involving foreign bodies, which aids in better tracking and management of such cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those involving foreign bodies, which aids in better tracking and management of such cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those involving foreign bodies, which aids in better tracking and management of such cases.

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 should be documented to support the use of S11.22?

Documentation should include the mechanism of injury, presence of a foreign body, clinical findings, and any procedures performed, such as foreign body removal or surgical repair.