Puncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
ICD-10 S31.643 is a billable code used to indicate a diagnosis of puncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity.
A puncture wound with a foreign body in the right lower quadrant of the abdominal wall indicates a significant injury that may involve the peritoneal cavity. This type of injury often results from penetrating trauma, such as stab wounds or gunshot wounds, and can lead to serious complications, including peritonitis, hemorrhage, and organ damage. The presence of a foreign body complicates the clinical picture, as it may necessitate surgical intervention to remove the object and repair any damage to the abdominal organs. Patients may present with abdominal pain, tenderness, and signs of internal bleeding. Immediate assessment through imaging studies, such as ultrasound or CT scans, is crucial to evaluate the extent of the injury and guide treatment. Emergency surgical intervention is often required to address any perforation of the bowel or other intra-abdominal structures, and to prevent further complications.
Detailed account of the injury mechanism, vital signs, and initial assessment findings.
Patients presenting with stab wounds or gunshot wounds to the abdomen.
Timely documentation is critical for accurate coding and billing, especially in trauma cases.
Comprehensive operative reports detailing the surgical procedure, findings, and any complications.
Surgical intervention for foreign body removal and repair of abdominal organs.
Accurate coding requires thorough documentation of the surgical approach and any additional procedures performed.
Used when a patient presents with a penetrating abdominal injury requiring surgical exploration.
Operative report detailing findings and interventions.
General surgeons must document the extent of the injury and any repairs performed.
Coding S31.643 accurately reflects the severity of the injury and the need for potential surgical intervention, which is crucial for appropriate reimbursement and patient care.
