Laceration without foreign body of abdominal wall, right lower quadrant without penetration into peritoneal cavity
ICD-10 S31.113 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, right lower quadrant without penetration into peritoneal cavity.
S31.113 refers to a laceration of the abdominal wall specifically located in the right lower quadrant, which does not involve any foreign body and does not penetrate the peritoneal cavity. This type of injury is often 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 the intestines, bladder, or reproductive organs. The absence of penetration into the peritoneal cavity suggests that while the abdominal wall is compromised, the risk of intra-abdominal complications such as peritonitis is reduced. However, careful monitoring and evaluation are necessary to rule out any potential complications. Emergency surgical intervention may be required for repair, especially if the laceration is deep or if there is significant bleeding. Proper documentation of the mechanism of injury, the extent of the laceration, and any associated injuries is crucial for accurate coding and billing.
Detailed account of the mechanism of injury, vital signs, and initial assessment findings.
Patients presenting with abdominal trauma from accidents or falls.
Ensure all associated injuries are documented to support coding.
Operative reports detailing the repair of the laceration and any additional findings.
Surgical intervention for abdominal wall lacerations requiring repair.
Document the extent of the laceration and any complications encountered during surgery.
Used for repair of the laceration in the right lower quadrant.
Document the size of the laceration and the method of repair.
Ensure that the procedure aligns with the diagnosis.
The right lower quadrant is associated with specific organs and potential complications. Accurate coding helps in understanding the injury's context and potential treatment needs.
