Puncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
ICD-10 S31.644 is a billable code used to indicate a diagnosis of puncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity.
S31.644 describes a puncture wound located in the left lower 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, gunshot wound, or an accidental injury from sharp objects. The presence of a foreign body complicates the clinical picture, as it can lead to infection, peritonitis, or other serious complications. The peritoneal cavity houses vital organs, and any breach can result in significant morbidity. Emergency surgical intervention is typically required to remove the foreign body, repair the abdominal wall, and address any damage to internal organs. The management of such injuries requires a multidisciplinary approach, often involving trauma surgeons, emergency medicine physicians, and radiologists for imaging studies to assess the extent of the injury and guide treatment decisions.
Detailed operative notes, imaging studies, and post-operative care documentation.
Management of stab wounds, gunshot wounds, and accidental punctures.
Accurate documentation of the type of foreign body and any associated organ injuries is crucial.
Thorough initial assessment notes, including vital signs and mechanism of injury.
Initial evaluation and stabilization of trauma patients with abdominal injuries.
Timely documentation is essential for coding accuracy and billing.
Used when surgical intervention is required to explore the peritoneal cavity.
Operative report detailing the findings and procedures performed.
Trauma surgeons must document the extent of the injury and any repairs made.
Accurate coding of S31.644 is crucial for proper reimbursement, tracking of trauma cases, and ensuring appropriate patient management. It reflects the complexity of the injury and the need for potential surgical intervention.
