Unspecified open wound of unspecified buttock
ICD-10 S31.809 is a billable code used to indicate a diagnosis of unspecified open wound of unspecified buttock.
An unspecified open wound of the buttock can arise from various traumatic incidents, including falls, accidents, or penetrating injuries. This type of injury may involve damage to the skin, subcutaneous tissue, and potentially deeper structures such as muscle or fascia. The buttock region is anatomically complex, housing important structures such as the gluteal muscles, nerves, and blood vessels. Open wounds in this area can lead to complications such as infection, hemorrhage, or damage to adjacent structures, necessitating careful assessment and management. In cases of significant trauma, associated injuries may include abdominal trauma, pelvic injuries, lumbar spine trauma, or genitourinary injuries, which require a comprehensive evaluation. Emergency surgical interventions may be necessary to address severe wounds, control bleeding, or repair damaged tissues. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement, as well as for tracking injury patterns in trauma registries.
Detailed descriptions of the wound, mechanism of injury, and any associated injuries.
Trauma from falls, motor vehicle accidents, or sports injuries.
Ensure all associated injuries are documented to avoid undercoding.
Immediate assessment notes, including vital signs and initial treatment provided.
Patients presenting with acute trauma to the buttock area.
Document the mechanism of injury and any interventions performed in the emergency setting.
Used for repair of an open wound on the buttock.
Document the size of the wound and the method of repair.
Trauma surgeons should ensure that the complexity of the wound is accurately reflected in the coding.
Use S31.809 when the documentation does not specify the exact location or type of the open wound, and no more specific codes are applicable.
