Puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity
ICD-10 S31.632 is a billable code used to indicate a diagnosis of puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the epigastric region that penetrates the peritoneal cavity is a serious injury that can lead to significant complications. This type of wound typically occurs due to sharp objects or trauma, such as stab wounds or accidental injuries. The epigastric region is located above the stomach and below the rib cage, making it a critical area where vital organs such as the liver, pancreas, and parts of the intestines are located. When a puncture wound penetrates the peritoneal cavity, it can introduce bacteria and other pathogens, leading to peritonitis, a severe abdominal infection. Immediate medical evaluation and intervention are crucial to assess the extent of the injury, manage any internal bleeding, and prevent infection. Surgical intervention may be required to repair any damaged organs or to clean the peritoneal cavity. The management of such injuries often involves a multidisciplinary approach, including trauma surgeons, emergency medicine physicians, and critical care specialists.
Detailed operative reports, imaging studies, and notes on the mechanism of injury.
Management of stab wounds, gunshot wounds, or accidental punctures.
Ensure all findings from imaging and surgical interventions are documented to support coding.
Initial assessment notes, vital signs, and any immediate interventions performed.
Patients presenting with acute abdominal pain following trauma.
Accurate documentation of the patient's condition upon arrival and any changes during treatment.
Used when surgical intervention is required due to the puncture wound.
Operative report detailing findings and interventions.
Trauma surgeons should ensure all findings are documented to support the procedure.
Coding S31.632 accurately reflects the severity of the injury and the need for potential surgical intervention, which is crucial for appropriate patient management and reimbursement.
