Puncture wound without foreign body of unspecified part of neck
ICD-10 S11.93 is a billable code used to indicate a diagnosis of puncture wound without foreign body of unspecified part of neck.
A puncture wound is a type of injury characterized by a small, deep hole in the skin caused by a sharp object. In the case of S11.93, the injury occurs in the neck region and does not involve a foreign body. Such wounds can result from various incidents, including animal bites, falls onto sharp objects, or intentional injuries. Clinically, puncture wounds can lead to complications such as infection, bleeding, and damage to underlying structures, including nerves and blood vessels. The neck is a particularly sensitive area due to its proximity to vital structures, making prompt assessment and management crucial. Diagnosis typically involves a thorough physical examination and may include imaging studies to assess for deeper injuries. Management often includes cleaning the wound, possible suturing, and monitoring for signs of infection. The absence of a foreign body simplifies the treatment approach but necessitates careful documentation to ensure accurate coding and billing.
Complete documentation of the patient's history, mechanism of injury, and physical examination findings.
Patients presenting with puncture wounds from falls, animal bites, or sharp objects.
Ensure that the documentation reflects the absence of foreign bodies and any immediate interventions performed.
Detailed operative notes if surgical intervention is required, including wound exploration and repair.
Surgical management of deep puncture wounds that may involve repair of underlying structures.
Accurate coding of any additional procedures performed during surgery.
Used when a puncture wound requires suturing.
Document the size of the wound and the method of closure.
Emergency medicine and surgical specialties should ensure that the procedure aligns with the diagnosis.
S11.93 is used for puncture wounds without foreign bodies, while S11.91 is for those with foreign bodies present. Accurate documentation is essential to determine the correct code.
