Laceration without foreign body of anus
ICD-10 S31.831 is a billable code used to indicate a diagnosis of laceration without foreign body of anus.
S31.831 refers to a laceration of the anus that occurs without the presence of a foreign body. This type of injury can result from various causes, including trauma from falls, accidents, or surgical procedures. The clinical presentation may include pain, bleeding, and difficulty with bowel movements. In cases of significant laceration, there may be associated injuries to surrounding structures, including the pelvic region and lumbar spine, which can complicate the clinical picture. Emergency surgical intervention may be required to repair the laceration, especially if there is extensive tissue damage or if the injury is associated with other abdominal or pelvic injuries. Proper assessment and documentation are crucial to ensure appropriate coding and management of the patient's condition. The absence of a foreign body distinguishes this code from others that may involve foreign material, which can affect treatment protocols and coding accuracy.
Detailed account of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with trauma from falls, accidents, or surgical complications.
Ensure that all associated injuries are documented to support coding.
Operative reports detailing the repair of the laceration and any associated procedures.
Surgical repair of anal lacerations following trauma or childbirth.
Document the extent of the laceration and any complications encountered during surgery.
Used when surgical repair is performed for a laceration of the anus.
Operative report detailing the repair procedure and any complications.
Ensure that the procedure is linked to the correct diagnosis code.
S31.831 is used for lacerations of the anus without foreign bodies, while S31.832 is for lacerations that involve foreign bodies. Accurate documentation is essential to determine which code to use.
