Laceration without foreign body of right upper arm
ICD-10 S41.111 is a billable code used to indicate a diagnosis of laceration without foreign body of right upper arm.
S41.111 refers to a laceration of the right upper arm that does not involve any foreign body. This type of injury is often the result of trauma, such as falls, accidents, or sports injuries. The upper arm consists of the humerus bone, which can be affected by various conditions, including shoulder dislocations, humeral fractures, and rotator cuff injuries. When a laceration occurs, it may involve damage to the skin, subcutaneous tissue, and potentially deeper structures such as muscles or tendons. Proper assessment and documentation are crucial, as the severity of the laceration can influence treatment options, including surgical repair. In cases where the laceration is extensive, orthopedic intervention may be necessary to ensure proper healing and restore function. Coders must be aware of the specific details of the injury, including the depth and extent of the laceration, to accurately code and bill for the services rendered.
Detailed notes on the mechanism of injury, extent of laceration, and any associated fractures or dislocations.
Patients presenting with traumatic lacerations requiring surgical intervention or repair.
Ensure documentation reflects the complexity of the injury and any surgical procedures performed.
Comprehensive assessment of the injury, including vital signs, pain levels, and initial treatment provided.
Patients with acute lacerations from accidents or sports injuries requiring immediate care.
Accurate documentation of the mechanism of injury and any immediate interventions is critical.
Used when a simple laceration repair is performed on the right upper arm.
Document the size of the laceration and the method of repair.
Orthopedic surgeons should note any associated injuries during repair.
S41.111 is used for lacerations of the right upper arm without foreign bodies, while S41.112 is for the left upper arm. Accurate coding depends on the specific location of the injury.
