Laceration without foreign body of left breast
ICD-10 S21.012 is a billable code used to indicate a diagnosis of laceration without foreign body of left breast.
S21.012 refers to a laceration of the left breast that does not involve any foreign body. This type of injury can occur due to various mechanisms, including trauma from blunt force, sharp objects, or surgical interventions. The clinical presentation may include pain, swelling, and visible disruption of the skin and underlying tissues. It is crucial to assess the extent of the laceration, as deeper injuries may involve underlying structures such as muscle, fat, or even the thoracic cavity. In cases of significant trauma, associated injuries such as rib fractures, pneumothorax, or hemothorax may also be present, necessitating a comprehensive evaluation. Proper documentation should include the mechanism of injury, the depth of the laceration, and any associated injuries. Treatment may involve wound care, suturing, or surgical intervention depending on the severity of the laceration. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of care provided.
Detailed account of the injury mechanism, assessment of associated injuries, and treatment provided.
Patients presenting with trauma from accidents, falls, or assaults.
Ensure all associated injuries are documented to support coding for comprehensive trauma care.
Operative reports detailing the extent of the laceration and any surgical interventions performed.
Surgical repair of traumatic lacerations or complications arising from previous surgeries.
Document any complications or additional procedures performed during surgery.
Used for repair of a laceration on the left breast.
Document the size of the laceration and the method of repair.
Ensure that the procedure is linked to the diagnosis of the laceration.
S21.012 refers specifically to a laceration of the left breast without foreign body, while S21.011 refers to a similar injury on the right breast.
