Unspecified open wound of left buttock
ICD-10 S31.829 is a billable code used to indicate a diagnosis of unspecified open wound of left buttock.
An unspecified open wound of the left buttock refers to a traumatic injury characterized by a break in the skin and underlying tissues in the left gluteal region. This type of injury can result from various mechanisms, including blunt trauma, penetrating injuries, or surgical interventions. The buttock area is anatomically complex, containing muscles, nerves, blood vessels, and fat, making the assessment of such wounds critical. Open wounds can vary in severity, from superficial abrasions to deep lacerations that may involve muscle or fascia. The management of these wounds often requires careful evaluation to rule out associated injuries, particularly in cases of significant trauma where pelvic or lumbar spine injuries may coexist. Emergency surgical interventions may be necessary to control bleeding, prevent infection, and facilitate healing. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking injury patterns in trauma registries.
Detailed descriptions of the wound, associated injuries, and surgical interventions performed.
Trauma patients presenting with open wounds from falls, motor vehicle accidents, or penetrating injuries.
Ensure all associated injuries are documented to support the coding of S31.829.
Comprehensive assessment of the wound, including size, depth, and any signs of infection.
Patients presenting to the emergency department with acute trauma to the buttock area.
Document the mechanism of injury and any immediate interventions performed.
Used for suturing an open wound on the left buttock.
Document the size and depth of the wound, as well as the repair technique used.
Trauma surgeons should ensure that the repair is documented in detail.
S31.829 refers specifically to an unspecified open wound of the left buttock, while S31.81 refers to an open wound of the right buttock. Accurate coding requires attention to the specific location of the injury.
