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v1.0.0
ICD-10 Guide
ICD-10 CodesS51.842

S51.842

Billable

Puncture wound with foreign body of left forearm

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S51.842 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left forearm.

Key Diagnostic Point:

A puncture wound with a foreign body in the left forearm typically occurs when a sharp object penetrates the skin, potentially causing damage to underlying tissues, muscles, and nerves. This type of injury can lead to complications such as infection, foreign body reaction, and in severe cases, compartment syndrome, where increased pressure within the muscle compartments can compromise blood flow and tissue viability. The left forearm consists of the radius and ulna bones, and injuries in this area can also affect the elbow joint, leading to fractures or dislocations. Proper assessment and management are crucial, including imaging studies to evaluate for fractures or retained foreign bodies. Treatment may involve surgical intervention to remove the foreign body, repair any damaged structures, and ensure proper healing. The complexity of coding for this condition arises from the need to accurately document the nature of the wound, the presence of foreign bodies, and any associated injuries or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the type and location of the foreign body
  • Potential for associated injuries such as fractures or compartment syndrome
  • Variability in treatment approaches based on the severity of the injury
  • Requirement for imaging studies to confirm diagnosis and treatment plan

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of the wound type or severity
  • Lack of imaging reports to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up assessments are essential for accurate coding.

Common Clinical Scenarios

Orthopedic surgeons frequently encounter puncture wounds with foreign bodies during trauma cases, requiring surgical intervention.

Billing Considerations

Documentation must clearly outline the extent of the injury, any foreign body removal, and the condition of surrounding tissues.

Emergency Medicine

Documentation Requirements

Thorough initial assessment notes, including mechanism of injury and immediate treatment provided.

Common Clinical Scenarios

Emergency departments often treat puncture wounds from various sources, including animal bites and industrial accidents.

Billing Considerations

Accurate coding requires clear documentation of the injury's mechanism and any immediate complications observed.

Coding Guidelines

Inclusion Criteria

Use S51.842 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, location, and any associated complications
  • Include details about the foreign body and any surgical interventions performed

Exclusion Criteria

Do NOT use S51.842 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and drainage of abscess

Clinical Scenario

Used when a puncture wound leads to an abscess requiring drainage.

Documentation Requirements

Document the size and location of the abscess, as well as the procedure performed.

Specialty Considerations

Orthopedic surgeons may need to document the extent of tissue involvement.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of puncture wounds, improving the accuracy of claims and facilitating better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of puncture wounds, improving the accuracy of claims and facilitating better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of puncture wounds, improving the accuracy of claims and facilitating better tracking of injury types and treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between S51.842 and S51.841?

S51.842 is used for puncture wounds with a foreign body present, while S51.841 is for puncture wounds without any foreign body. Accurate documentation is essential to determine which code to use.