Laceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
ICD-10 S31.620 is a billable code used to indicate a diagnosis of laceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity.
S31.620 describes a traumatic injury characterized by a laceration in the abdominal wall specifically located in the right upper quadrant, which is complicated by the presence of a foreign body that has penetrated into the peritoneal cavity. This type of injury often results from blunt or penetrating trauma, such as stab wounds or gunshot injuries, and can lead to significant complications, including internal bleeding, organ damage, and infection. The right upper quadrant houses vital organs such as the liver, gallbladder, and portions of the small intestine, making injuries in this area particularly concerning. Emergency surgical intervention is frequently required to repair the laceration, remove the foreign body, and assess for any damage to underlying organs. Proper coding of this condition is crucial for accurate medical billing and to ensure appropriate treatment is documented and reimbursed.
Detailed operative reports, imaging studies, and notes on foreign body retrieval.
Patients presenting with stab wounds, gunshot wounds, or industrial accidents involving abdominal trauma.
Ensure all surgical interventions and findings are clearly documented to support coding.
Thorough initial assessment notes, imaging results, and treatment plans.
Patients with acute abdominal pain due to trauma, requiring immediate evaluation and intervention.
Accurate documentation of the mechanism of injury and any immediate interventions performed.
Used when the patient requires surgical exploration due to suspected organ injury.
Operative report detailing findings and interventions.
Trauma surgeons must document the extent of the injury and any repairs performed.
Accurate coding of S31.620 is crucial for proper reimbursement, tracking of trauma cases, and ensuring that patients receive appropriate care based on the severity of their injuries.
