Puncture wound without foreign body of left front wall of thorax with penetration into thoracic cavity
ICD-10 S21.332 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left front wall of thorax with penetration into thoracic cavity.
A puncture wound of the thorax occurs when a sharp object penetrates the chest wall, leading to potential complications such as pneumothorax, hemothorax, or injury to thoracic organs. In the case of S21.332, the wound is specifically located on the left front wall of the thorax and has penetrated into the thoracic cavity without the presence of a foreign body. This type of injury can result from various mechanisms, including stab wounds, gunshot wounds, or accidental punctures. Clinically, it is critical to assess for associated injuries such as rib fractures, which may compromise respiratory function, and to evaluate for potential cardiac injuries, especially if the wound is located near the heart. The management of such injuries often requires surgical intervention, including thoracotomy or chest tube placement, to address complications like air or blood accumulation in the thoracic cavity. Prompt recognition and treatment are essential to prevent severe morbidity and mortality.
Detailed operative notes, imaging results, and injury assessments.
Management of stab wounds, gunshot wounds, and accidental punctures.
Ensure all associated injuries are documented to support coding.
Comprehensive patient history, physical examination findings, and treatment provided.
Initial assessment and stabilization of patients with thoracic injuries.
Document vital signs and any immediate interventions performed.
Used for drainage of fluid in cases of hemothorax.
Document indication for procedure and fluid analysis.
Ensure proper coding based on the complexity of the procedure.
Performed for pneumothorax or hemothorax management.
Document the indication and any complications.
Include details on the size and type of tube used.
S21.331 refers to a puncture wound without foreign body of the right front wall of thorax, while S21.332 specifies the left front wall with penetration into the thoracic cavity.
