Puncture wound of abdominal wall without foreign body, periumbilic region without penetration into peritoneal cavity
ICD-10 S31.135 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall without foreign body, periumbilic region without penetration into peritoneal cavity.
S31.135 refers to a puncture wound located in the periumbilical region of the abdominal wall that does not involve a foreign body and does not penetrate the peritoneal cavity. This type of injury is often the result of blunt trauma or sharp objects that create a wound without deep tissue damage. Clinically, it is important to assess the wound for signs of infection, bleeding, or other complications. The absence of a foreign body simplifies the management of the wound, as there is no need for foreign body removal. However, careful monitoring is essential to ensure that there is no delayed presentation of complications such as peritonitis or abscess formation. Treatment typically involves wound care, possible suturing, and monitoring for any signs of internal injury, especially in cases where the mechanism of injury suggests a higher risk of deeper damage. Emergency surgical intervention may be required if there are signs of peritoneal involvement or if the patient exhibits symptoms of internal bleeding.
Detailed documentation of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with stab wounds, accidental punctures, or injuries from falls.
Ensure that all assessments for internal injuries are documented, especially in cases of high-risk mechanisms.
Comprehensive surgical notes detailing the procedure, findings, and post-operative care.
Surgical intervention for abdominal wall injuries, including repair of puncture wounds.
Document any findings that may indicate deeper injury or complications that arise during surgery.
Used for the repair of the puncture wound in the periumbilical region.
Document the size of the wound and the method of repair.
Ensure that the procedure is linked to the diagnosis of S31.135.
Accurate coding of S31.135 is crucial for proper reimbursement, tracking of injury patterns, and ensuring appropriate patient care. It helps in identifying trends in abdominal injuries and can influence preventive measures in clinical practice.