Puncture wound of abdominal wall with foreign body without penetration into peritoneal cavity
ICD-10 S31.14 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall with foreign body without penetration into peritoneal cavity.
A puncture wound of the abdominal wall with a foreign body indicates an injury where an object has penetrated the skin and underlying tissues of the abdominal wall but has not breached the peritoneal cavity. This type of injury can occur due to various mechanisms, including accidental injuries from sharp objects, impalement, or penetrating trauma from projectiles. Clinically, such wounds may present with localized pain, swelling, and potential signs of infection. The presence of a foreign body complicates the injury, as it may require surgical intervention for removal and to prevent further complications such as abscess formation or peritonitis. The management of these wounds often involves thorough cleaning, debridement, and careful monitoring for any signs of internal injury, especially in cases where the mechanism of injury suggests a higher risk of deeper tissue damage. Emergency surgical interventions may be necessary if there is suspicion of deeper organ involvement or if the foreign body cannot be safely removed in a less invasive manner.
Detailed account of the injury mechanism, foreign body characteristics, and treatment provided.
Patients presenting with stab wounds, impalement injuries, or accidental punctures.
Ensure that all relevant imaging studies and consultations are documented to support the coding.
Operative reports detailing the surgical approach, foreign body removal, and any complications encountered.
Surgical intervention for foreign body removal or repair of abdominal wall defects.
Document any intraoperative findings that may affect coding, such as unexpected injuries.
Used for repair of the puncture wound after foreign body removal.
Document the size of the wound and the method of repair.
Ensure that the repair is documented in the operative report.
S31.14 refers to a puncture wound of the abdominal wall with a foreign body without penetration into the peritoneal cavity, while S31.15 indicates a similar wound but with penetration into the peritoneal cavity, which is a more severe condition requiring different management.
