Open wound of scrotum and testes
ICD-10 S31.3 is a billable code used to indicate a diagnosis of open wound of scrotum and testes.
An open wound of the scrotum and testes refers to a traumatic injury that results in a break in the skin and underlying tissues of the scrotum or testes. This type of injury can occur due to various mechanisms, including blunt or penetrating trauma, such as from accidents, falls, or violence. The clinical presentation may include swelling, bruising, and bleeding, and there may be associated injuries to the surrounding structures, including the abdominal and pelvic regions. In cases of severe trauma, there may be a risk of testicular torsion or loss of testicular viability. Emergency surgical intervention is often required to repair the wound, control bleeding, and assess for any damage to the testicular tissue. The management of such injuries is critical to prevent complications such as infection, necrosis, or infertility. Accurate coding is essential for proper reimbursement and tracking of trauma-related injuries in the genitourinary system.
Detailed notes on the nature of the injury, surgical findings, and any interventions performed.
Traumatic injuries from sports, accidents, or assaults leading to open wounds.
Consideration of potential fertility implications and the need for follow-up care.
Comprehensive assessment of the injury, including vital signs, mechanism of injury, and initial management steps.
Patients presenting with acute scrotal pain and swelling following trauma.
Timely intervention is critical; documentation should reflect urgency and any immediate surgical referrals.
Used when there is an abscess formation following an open wound.
Document the size, location, and nature of the abscess.
Urology specialists may need to provide additional details on the management of the wound.
The primary treatment often involves surgical intervention to repair the wound, control bleeding, and assess for any damage to the testicular tissue.
An open wound involves a break in the skin, while a closed wound does not. Documentation should clearly state the nature of the injury.
