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ICD-10 Guide
ICD-10 CodesS31.814

S31.814

Billable

Puncture wound with foreign body of right buttock

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S31.814 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right buttock.

Key Diagnostic Point:

A puncture wound with a foreign body in the right buttock is a specific type of injury that occurs when a sharp object penetrates the skin and underlying tissues, potentially introducing foreign material into the body. This type of injury can result from various incidents, including falls, accidents, or intentional harm. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. Clinically, the patient may present with localized pain, swelling, and signs of infection such as redness or discharge. Emergency evaluation is critical to assess the extent of the injury, the nature of the foreign body, and the need for surgical intervention. Imaging studies may be required to locate the foreign object, especially if it is not visible externally. Treatment often involves cleaning the wound, removing the foreign body, and possibly suturing the wound. In cases where the foreign body is deeply embedded or associated with significant tissue damage, surgical intervention may be necessary to ensure proper healing and prevent complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the coding process.
  • Need for detailed documentation of the injury mechanism.
  • Potential for associated injuries in the pelvic region.
  • Variability in treatment approaches based on foreign body type.

Audit Risk Factors

  • Inadequate documentation of the foreign body type.
  • Failure to document the mechanism of injury.
  • Lack of follow-up notes regarding infection or complications.
  • Improper linkage of the procedure codes to the diagnosis.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, foreign body characteristics, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources, including accidents or assaults.

Billing Considerations

Ensure thorough documentation of any imaging studies performed and the rationale for surgical intervention.

Surgery

Documentation Requirements

Operative reports detailing the removal of the foreign body and any additional procedures performed.

Common Clinical Scenarios

Surgical intervention for deeply embedded foreign bodies or cases with significant tissue damage.

Billing Considerations

Document any complications encountered during surgery and post-operative care.

Coding Guidelines

Inclusion Criteria

Use S31.814 When
  • According to ICD
  • 10 guidelines, S31
  • 814 should be used when a puncture wound with a foreign body is specifically identified in the right buttock
  • Coders must ensure that the documentation supports the diagnosis and includes details about the foreign body

Exclusion Criteria

Do NOT use S31.814 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and drainage of abscess

Clinical Scenario

Used when the puncture wound becomes infected and requires drainage.

Documentation Requirements

Document the size of the abscess and the procedure performed.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the puncture wound.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies, which enhances data accuracy and improves patient care tracking.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the importance of documenting the foreign body type?

Documenting the foreign body type is crucial for accurate coding and treatment planning, as it influences the management of the wound and potential complications.