Laceration without foreign body of abdominal wall, epigastric region without penetration into peritoneal cavity
ICD-10 S31.112 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, epigastric region without penetration into peritoneal cavity.
S31.112 refers to a laceration of the abdominal wall specifically located in the epigastric region, which is the upper central part of the abdomen. This type of injury is characterized by a break in the skin and underlying tissues without the presence of a foreign body and does not penetrate the peritoneal cavity. Such lacerations can occur due to various traumatic events, including blunt or penetrating trauma, falls, or accidents. Clinically, these injuries may present with pain, swelling, and possible bleeding at the site of the laceration. It is crucial to assess the depth and extent of the injury to rule out damage to underlying structures such as muscles, nerves, or blood vessels. Emergency surgical intervention may be required if there is significant tissue loss or if the laceration is extensive. Proper documentation of the injury's characteristics, including size, depth, and any associated injuries, is essential for accurate coding and treatment planning.
Detailed description of the mechanism of injury, assessment of the laceration, and any interventions performed.
Patients presenting with abdominal trauma from accidents, falls, or assaults.
Ensure that all relevant details about the injury and treatment are documented to support the coding.
Operative reports detailing the extent of the laceration, any repairs performed, and post-operative care.
Surgical intervention for extensive lacerations requiring suturing or other repair techniques.
Documentation must clearly indicate the nature of the laceration and any associated injuries to justify surgical procedures.
Used for simple repair of lacerations in the epigastric region.
Document the size and depth of the laceration, along with the repair technique used.
Ensure that the procedure aligns with the diagnosis for accurate billing.
Specifying 'without foreign body' is crucial as it differentiates the type of injury and impacts treatment decisions and coding accuracy.
