Open wound of penis
ICD-10 S31.2 is a billable code used to indicate a diagnosis of open wound of penis.
An open wound of the penis refers to a laceration or puncture that disrupts the integrity of the skin and underlying tissues of the penile shaft. This injury can occur due to various mechanisms, including trauma from accidents, surgical procedures, or self-inflicted injuries. The clinical presentation may include bleeding, pain, and potential exposure of underlying structures such as the corpus cavernosum or urethra. In cases of significant trauma, associated injuries may involve the pelvic region, including fractures or damage to the genitourinary system. Emergency management often requires thorough assessment to rule out complications such as urethral injury or infection. Surgical intervention may be necessary to repair the wound, control bleeding, and restore normal anatomy and function. Proper documentation of the mechanism of injury, extent of the wound, and any associated injuries is crucial for accurate coding and treatment planning.
Detailed description of the injury, associated symptoms, and any surgical interventions performed.
Traumatic injuries from accidents, surgical complications, or infections.
Ensure accurate documentation of any urethral involvement or additional genitourinary injuries.
Comprehensive assessment of the injury, including vital signs, mechanism of injury, and initial treatment provided.
Acute trauma cases presenting to the emergency department.
Document any immediate interventions and the need for surgical consultation.
Used when an abscess develops in conjunction with an open wound.
Document the size, location, and nature of the abscess.
Urology specialists should ensure accurate coding for any surgical interventions.
Common causes include traumatic injuries from accidents, surgical complications, and self-inflicted injuries. Each case requires careful assessment to determine the appropriate treatment and coding.