Laceration with foreign body of right breast
ICD-10 S21.021 is a billable code used to indicate a diagnosis of laceration with foreign body of right breast.
S21.021 refers to a laceration of the right breast that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as accidents, falls, or penetrating injuries. The laceration may involve the skin and underlying tissues, and the foreign body can range from fragments of clothing to more serious items like glass or metal. Clinically, the presence of a foreign body can complicate the healing process, increase the risk of infection, and necessitate surgical intervention for removal. In cases of significant trauma, associated injuries such as rib fractures, pneumothorax, or hemothorax may also be present, requiring comprehensive evaluation and management. The treatment approach often involves wound care, imaging studies to assess for additional injuries, and possibly surgical repair or debridement. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed account of the mechanism of injury, type of foreign body, and any associated injuries.
Patients presenting with traumatic injuries from accidents, falls, or assaults.
Ensure all associated injuries are documented to support coding for potential complications.
Operative reports detailing the removal of foreign bodies and repair of lacerations.
Surgical intervention for lacerations with foreign bodies requiring debridement or repair.
Document the extent of the laceration and any additional procedures performed.
Used when surgical repair is needed for a complicated laceration with foreign body.
Operative report detailing the laceration and foreign body removal.
Ensure the surgical specialty is noted for accurate billing.
Documentation should include the mechanism of injury, type of foreign body, depth of the laceration, and any associated injuries or complications.
