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ICD-10 Guide
ICD-10 CodesS21.029

S21.029

Billable

Laceration with foreign body of unspecified breast

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S21.029 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified breast.

Key Diagnostic Point:

S21.029 refers to a laceration of the breast that is accompanied by a foreign body, where the specific breast is not identified. This condition typically arises from traumatic incidents such as accidents, assaults, or surgical complications. The presence of a foreign body can complicate the healing process and may lead to infections or other complications. Clinically, the management of such lacerations involves thorough assessment, potential imaging to locate the foreign body, and surgical intervention to remove the foreign object and repair the laceration. The breast tissue is highly vascular, and any trauma can lead to significant bleeding, necessitating careful monitoring for signs of hemothorax or other thoracic injuries. In cases where the laceration is deep, there may be a risk of damage to underlying structures, including ribs or the pleura, which could lead to pneumothorax or hemothorax. Proper coding requires detailed documentation of the injury mechanism, the presence of any foreign bodies, and the treatment provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential foreign bodies (e.g., glass, metal, organic material)
  • Need for precise documentation of the laceration's depth and extent
  • Potential for associated injuries (e.g., rib fractures, pneumothorax)
  • Variability in treatment approaches based on foreign body type

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document associated injuries or complications
  • Lack of clarity on the mechanism of injury
  • Improper coding of the laceration depth

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the mechanism of injury, imaging results, and treatment provided.

Common Clinical Scenarios

Patients presenting with traumatic breast injuries from accidents or assaults.

Billing Considerations

Ensure all associated injuries are documented, especially if thoracic injuries are suspected.

General Surgery

Documentation Requirements

Operative reports detailing the removal of foreign bodies and repair of lacerations.

Common Clinical Scenarios

Surgical intervention for deep lacerations with foreign bodies.

Billing Considerations

Document the extent of the laceration and any complications encountered during surgery.

Coding Guidelines

Inclusion Criteria

Use S21.029 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring accurate documentation of the injury's nature, location, and any foreign bodies present
  • Include details on the treatment provided and any complications

Exclusion Criteria

Do NOT use S21.029 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12031CPT Code

Repair of laceration, face, ears, eyelids, scalp; complicated

Clinical Scenario

Used when a complicated laceration repair is performed on the breast.

Documentation Requirements

Operative report detailing the complexity of the laceration and the repair technique used.

Specialty Considerations

Ensure that the surgical specialty aligns with the procedure performed.

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 the presence of foreign bodies, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including the presence of foreign bodies, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 for S21.029?

Documentation should include the mechanism of injury, type of foreign body, depth of the laceration, associated injuries, and treatment provided.