Laceration without foreign body of abdominal wall without penetration into peritoneal cavity
ICD-10 S31.11 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall without penetration into peritoneal cavity.
S31.11 refers to a laceration of the abdominal wall that does not involve any foreign body and does not penetrate the peritoneal cavity. This type of injury is typically the result of blunt or penetrating trauma, such as from a fall, motor vehicle accident, or sharp object. Clinically, it is important to assess the depth and extent of the laceration, as well as any associated injuries to the underlying structures, including muscles, nerves, and blood vessels. While the peritoneal cavity remains intact, the injury can still lead to significant pain, swelling, and potential complications such as infection or hematoma formation. Emergency surgical intervention may be required for extensive lacerations to ensure proper healing and to prevent complications. Accurate documentation of the injury's characteristics, mechanism of injury, and any associated treatments is crucial for appropriate coding and billing.
Detailed account of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with abdominal trauma from accidents or falls.
Ensure all associated injuries are documented to support coding.
Operative reports detailing the laceration repair and any additional procedures performed.
Surgical intervention for extensive abdominal wall lacerations.
Document the extent of the laceration and any complications encountered during surgery.
Used for repair of the laceration in an outpatient setting.
Document the size and location of the laceration.
Ensure the procedure is performed by a qualified provider.
Used if there is suspicion of deeper injury requiring surgical intervention.
Document indications for surgery and findings.
Involve surgical teams for accurate coding.
S31.11 refers to a laceration without foreign body, while S31.12 indicates a laceration with a foreign body present, which may require different management and coding.
