Laceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity
ICD-10 S31.115 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity.
S31.115 refers to a laceration of the abdominal wall specifically located in the periumbilical region that 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 to rule out any associated injuries to internal organs or structures. The absence of foreign bodies simplifies the management of the wound, focusing on proper cleaning, suturing, and monitoring for infection. Emergency surgical intervention may be required if there are signs of deeper tissue involvement or if the laceration is extensive. The management of such injuries typically involves a multidisciplinary approach, including trauma surgeons, emergency medicine physicians, and nursing staff, to ensure optimal patient outcomes.
Detailed description of the mechanism of injury, assessment of the laceration, and any interventions performed.
Patients presenting with abdominal trauma from falls, accidents, or assaults.
Ensure that all relevant imaging and lab results are documented to rule out internal injuries.
Operative reports detailing the extent of the laceration and any surgical interventions performed.
Patients requiring surgical repair of abdominal wall lacerations.
Document any findings during surgery that may affect coding, such as unexpected complications.
Used for suturing the laceration in the periumbilical region.
Document the size and location of the laceration, as well as the technique used.
Ensure that the procedure is linked to the diagnosis of S31.115.
S31.115 is used for lacerations without foreign bodies, while S31.116 is for lacerations that involve foreign bodies, which may complicate treatment and coding.
