Laceration without foreign body of unspecified buttock
ICD-10 S31.801 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified buttock.
A laceration of the buttock is a common injury that can occur due to various mechanisms such as falls, accidents, or blunt trauma. This specific code, S31.801, is used when a laceration occurs without the presence of a foreign body, indicating that the injury is a clean cut or tear of the skin and underlying tissues. The buttock region is anatomically complex, containing muscles, nerves, and blood vessels, which can be affected by such injuries. The severity of the laceration can vary from superficial cuts to deep wounds that may involve muscle or fat tissue. Proper assessment is crucial to determine the extent of the injury and the need for surgical intervention. In cases where the laceration is deep or extensive, emergency surgical procedures may be required to repair the tissue, control bleeding, and prevent infection. Documentation should include the mechanism of injury, the depth of the laceration, and any associated injuries to ensure accurate coding and appropriate treatment.
Detailed description of the injury, mechanism of injury, and any immediate interventions performed.
Patients presenting with lacerations from falls, accidents, or sports injuries.
Ensure that the depth and extent of the laceration are clearly documented to guide treatment and coding.
Comprehensive assessment of the injury, including imaging results if applicable.
Patients with lacerations that may involve underlying muscle or require surgical repair.
Document any associated fractures or soft tissue injuries that may complicate the laceration.
Used for lacerations requiring simple closure without complications.
Document the size of the laceration and the method of closure.
Emergency medicine and surgical specialties should ensure accurate documentation of the procedure performed.
Document the mechanism of injury, the depth of the laceration, any associated injuries, and the treatment provided. Clear documentation will support the accuracy of coding and billing.
