Puncture wound of abdominal wall without foreign body, epigastric region without penetration into peritoneal cavity
ICD-10 S31.132 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall without foreign body, epigastric region without penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the epigastric region refers to a specific type of injury characterized by a small, deep wound that penetrates the skin and underlying tissues but does not extend into the peritoneal cavity. This type of injury can occur due to various mechanisms, including accidental trauma from sharp objects or intentional injuries. Clinically, it is important to assess the wound for signs of infection, bleeding, or damage to underlying structures such as muscles, nerves, and blood vessels. The absence of a foreign body indicates that the wound is clean, reducing the risk of complications. However, careful monitoring is necessary to ensure that there is no delayed presentation of complications such as abscess formation or peritonitis. Treatment typically involves wound care, possible suturing, and monitoring for any signs of complications. Emergency surgical intervention may be required if there are signs of deeper injury or if the patient presents with significant abdominal pain or other concerning symptoms.
Detailed documentation of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with stab wounds, accidental punctures, or post-surgical complications.
Ensure that all relevant imaging studies and consultations are documented to support the diagnosis.
Comprehensive surgical notes detailing the procedure performed, findings, and post-operative care.
Surgical intervention for abdominal wall injuries or complications arising from puncture wounds.
Document any intraoperative findings that may affect coding and billing.
Used when the puncture wound requires simple closure.
Document the size of the wound and the method of closure.
Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of the repair.
Document the mechanism of injury, the absence of foreign bodies, the location of the wound, and any treatment provided. Follow-up notes should include healing progress and any complications.
