Laceration with foreign body of unspecified shoulder
ICD-10 S41.029 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified shoulder.
S41.029 refers to a laceration of the shoulder region that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as falls, accidents, or sports injuries where sharp objects penetrate the skin and underlying tissues. The shoulder is a complex joint that includes the humerus, scapula, and clavicle, and injuries in this area can lead to significant complications. The presence of a foreign body can increase the risk of infection, delayed healing, and may necessitate surgical intervention to remove the object and repair the laceration. Clinicians must assess the extent of the injury, including any associated damage to muscles, tendons, or nerves, particularly in cases where the rotator cuff may be involved. Proper documentation of the injury's mechanism, the type of foreign body, and any associated injuries such as dislocations or fractures is crucial for accurate coding and treatment planning.
Detailed operative reports, imaging studies, and follow-up notes are essential.
Surgical repair of lacerations, removal of foreign bodies, and management of associated fractures.
Ensure clear documentation of the surgical approach and any complications encountered during the procedure.
Thorough documentation of the initial assessment, mechanism of injury, and treatment provided.
Initial evaluation and stabilization of patients with traumatic shoulder injuries.
Document the patient's vital signs and any immediate interventions performed.
Used for the repair of a laceration with foreign body after removal.
Document the size of the laceration and the method of repair.
Orthopedic surgeons may need to provide additional details on the complexity of the repair.
Documentation should include the mechanism of injury, type of foreign body, extent of the laceration, and any associated injuries or treatments provided.
