Puncture wound without foreign body of right buttock
ICD-10 S31.813 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right buttock.
A puncture wound of the right buttock is a type of injury characterized by a sharp object penetrating the skin and underlying tissues without the presence of a foreign body. This injury can occur due to various incidents, such as falls, accidents, or intentional harm. Clinically, puncture wounds can lead to complications such as infection, bleeding, and damage to underlying structures, including muscles and nerves. In the context of abdominal trauma, pelvic injuries, and lumbar spine trauma, it is crucial to assess the extent of the injury and any potential involvement of deeper structures. The right buttock is anatomically significant as it is in proximity to vital organs and structures, including the pelvic cavity and the lumbar spine. Emergency surgical interventions may be necessary if there is significant bleeding, infection, or if the wound penetrates deeper tissues. Proper assessment and documentation are essential to ensure appropriate treatment and coding.
Detailed description of the injury, mechanism of injury, and any immediate interventions performed.
Patients presenting with puncture wounds from falls, accidents, or assaults.
Ensure to document any signs of infection or complications that may arise.
Operative reports detailing the extent of the injury, surgical interventions performed, and post-operative care.
Patients requiring surgical intervention for deep puncture wounds or those with complications.
Accurate coding of surgical procedures related to the wound is essential.
Used when the puncture wound requires suturing.
Document the size of the wound and the method of repair.
Ensure that the procedure is linked to the diagnosis of the puncture wound.
S31.813 is used for puncture wounds without foreign bodies, while S31.812 is for puncture wounds that involve foreign materials. Accurate documentation is essential to determine the correct code.
