Laceration without foreign body of left buttock
ICD-10 S31.821 is a billable code used to indicate a diagnosis of laceration without foreign body of left buttock.
S31.821 refers to a laceration of the left buttock that does not involve any foreign body. This type of injury is often the result of blunt trauma, falls, or accidents, and can vary in severity from superficial cuts to deeper wounds that may involve underlying tissues such as muscle or fascia. The buttock region is particularly vulnerable due to its exposure in certain activities and its anatomical position. Clinically, such lacerations may present with pain, swelling, and potential bleeding. Assessment typically involves a thorough physical examination to determine the depth and extent of the injury, as well as any associated injuries to the pelvic region or lumbar spine. In cases where the laceration is extensive, emergency surgical intervention may be required to repair the tissue and prevent complications such as infection or significant blood loss. Proper documentation of the injury's characteristics, including size, depth, and any associated trauma, is essential for accurate coding and treatment planning.
Detailed description of the injury, mechanism of injury, and any immediate interventions performed.
Patients presenting with trauma from falls, accidents, or sports injuries resulting in buttock lacerations.
Ensure that all associated injuries are documented to support the complexity of the case.
Comprehensive assessment of the laceration and any potential involvement of underlying structures.
Surgical repair of deep lacerations that may involve muscle or fascia.
Documentation should include details on the surgical approach and any complications encountered.
Used for suturing a laceration on the left buttock.
Document the size and depth of the laceration, as well as the repair technique used.
Orthopedic surgeons should note any involvement of deeper structures.
Accurate coding of S31.821 is crucial for proper treatment planning, reimbursement, and data analysis. It ensures that healthcare providers can track injury patterns and outcomes effectively.