Laceration with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
ICD-10 S31.623 is a billable code used to indicate a diagnosis of laceration with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity.
S31.623 describes a traumatic injury characterized by a laceration in the abdominal wall located specifically in the right lower quadrant, which has been complicated by the presence of a foreign body that has penetrated into the peritoneal cavity. This type of injury often results from penetrating trauma, such as stab wounds or gunshot wounds, and can lead to significant complications, including peritonitis, hemorrhage, and damage to internal organs such as the intestines or bladder. The right lower quadrant is anatomically significant as it houses structures such as the appendix, cecum, and portions of the small intestine. The presence of a foreign body complicates the clinical picture, necessitating careful evaluation and often surgical intervention to remove the foreign object and repair any damage to the abdominal wall and underlying structures. Emergency surgical intervention is typically required to address the laceration and prevent further complications, making this a critical condition that requires immediate medical attention.
Detailed operative reports and imaging studies to confirm the extent of injury.
Management of stab wounds or gunshot wounds to the abdomen.
Accurate documentation of the mechanism of injury and any associated injuries.
Thorough initial assessment notes and triage documentation.
Acute presentations of abdominal trauma in the emergency department.
Timely documentation of vital signs and interventions performed.
Used when surgical intervention is required for laceration repair.
Operative report detailing the procedure and findings.
Trauma surgeons must document the mechanism of injury and any associated procedures.
Accurate coding of S31.623 is crucial for proper reimbursement, tracking of trauma cases, and ensuring appropriate clinical management of patients with complex abdominal injuries.