Puncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
ICD-10 S31.641 is a billable code used to indicate a diagnosis of puncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity.
S31.641 describes a puncture wound located in the left upper quadrant of the abdominal wall that has penetrated into the peritoneal cavity and involves a foreign body. This type of injury is often the result of trauma, such as a stab wound or an accidental puncture from a sharp object. The presence of a foreign body complicates the clinical picture, as it may lead to infection, peritonitis, or other serious complications. Clinicians must assess the extent of the injury, including any damage to underlying organs such as the spleen, stomach, or diaphragm. Emergency surgical intervention is typically required to remove the foreign body, repair any damaged structures, and prevent further complications. The management of such injuries requires a multidisciplinary approach, involving trauma surgeons, emergency medicine physicians, and radiologists for imaging studies to evaluate the extent of the injury and guide treatment decisions.
Detailed operative reports and imaging studies must be included.
Management of stab wounds, gunshot wounds, or accidental punctures.
Documentation must specify the type of foreign body and any associated injuries.
Initial assessment notes, imaging results, and treatment plans are crucial.
Patients presenting with acute abdominal pain following trauma.
Timely documentation is essential for accurate coding and billing.
Used when a patient with a puncture wound requires surgical exploration.
Operative report detailing findings and interventions.
Trauma surgeons must document the extent of injury and any repairs performed.
Accurate coding of S31.641 is crucial for proper reimbursement, tracking of trauma cases, and ensuring that patients receive appropriate care based on the severity of their injuries.
