Puncture wound without foreign body of left buttock
ICD-10 S31.823 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left buttock.
A puncture wound of the left 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, including 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. The left buttock is a common site for such injuries, particularly in individuals engaged in physical activities or those who experience trauma. Assessment of the wound is crucial to determine the depth of penetration and the need for further intervention. In cases where the wound is deep, there may be a risk of injury to the pelvic organs or lumbar spine, necessitating imaging studies or surgical evaluation. Treatment typically involves cleaning the wound, monitoring for signs of infection, and providing appropriate wound care. In some cases, surgical intervention may be required to repair damaged tissues or to address complications arising from the injury.
Detailed description of the injury mechanism, assessment of the wound, and any interventions performed.
Patients presenting with puncture wounds from falls, accidents, or altercations.
Ensure that all relevant details about the injury and treatment are documented to support coding.
Operative notes detailing the surgical procedure, findings, and any complications.
Patients requiring surgical intervention for deep puncture wounds or complications such as abscess formation.
Accurate coding of any surgical procedures performed in conjunction with the wound care.
Used for the repair of a puncture wound that requires suturing.
Document the size of the wound and the method of repair.
Emergency medicine and surgical specialties should ensure accurate coding based on the procedure performed.
A puncture wound is caused by a sharp object penetrating the skin, while a laceration is a tear or cut in the skin. Puncture wounds are typically deeper and can pose a higher risk for infection.
