Laceration of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity
ICD-10 S31.120 is a billable code used to indicate a diagnosis of laceration of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity.
S31.120 refers to a specific type of abdominal wall injury characterized by a laceration in the right upper quadrant (RUQ) that is associated with a foreign body but does not penetrate the peritoneal cavity. This condition often arises from blunt or penetrating trauma, such as accidents involving sharp objects or falls. The right upper quadrant is anatomically significant as it houses vital organs, including the liver and gallbladder, making injuries in this area particularly concerning. The presence of a foreign body complicates the injury, as it may lead to infection or further tissue damage. Clinically, patients may present with localized pain, swelling, and signs of infection. Emergency surgical intervention may be required to remove the foreign body and repair the laceration, especially if there is concern for internal damage or infection. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.
Detailed notes on mechanism of injury, physical examination findings, and treatment provided.
Trauma cases from accidents, falls, or assaults involving sharp objects.
Ensure documentation reflects the urgency of the situation and any immediate interventions performed.
Operative reports detailing the surgical procedure, findings, and any complications.
Surgical intervention for foreign body removal and repair of the abdominal wall.
Accurate coding of surgical procedures performed in conjunction with the laceration repair.
Used when the laceration is repaired without complications.
Document the size and location of the laceration and the method of repair.
Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of the repair.
Documentation should include the mechanism of injury, specific location of the laceration, presence of any foreign bodies, and details of any surgical interventions performed.
