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ICD-10 Guide
ICD-10 CodesS51.849

S51.849

Billable

Puncture wound with foreign body of unspecified forearm

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

Code Description

ICD-10 S51.849 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified forearm.

Key Diagnostic Point:

A puncture wound with a foreign body in the forearm is a specific type of injury that occurs when an object penetrates the skin and underlying tissues, potentially introducing foreign materials into the body. This injury can lead to complications such as infection, tissue damage, and in some cases, the presence of foreign bodies may necessitate surgical intervention. The forearm consists of two bones, the radius and ulna, and injuries in this area can also affect the surrounding soft tissues, including muscles, tendons, and nerves. In cases where the puncture wound is deep, there is a risk of developing compartment syndrome, a serious condition that occurs when pressure builds up within the muscles, leading to decreased blood flow and potential muscle and nerve damage. Treatment may involve the removal of the foreign body, wound care, and possibly orthopedic fixation procedures if there are associated fractures or significant soft tissue injuries. Accurate coding of this condition is essential for proper treatment documentation and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in the depth and severity of the puncture wound
  • Potential for associated fractures of the radius or ulna
  • Risk of compartment syndrome requiring urgent intervention
  • Need for detailed documentation of foreign body type and location

Audit Risk Factors

  • Inadequate documentation of the foreign body type and its impact
  • Failure to document associated injuries or complications
  • Misclassification of the wound depth or severity
  • Lack of clarity in the treatment plan and follow-up care

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the nature of the injury, foreign body characteristics, and any surgical interventions performed.

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources, including industrial accidents or animal bites, requiring surgical evaluation.

Billing Considerations

Documentation must clearly outline the need for any orthopedic fixation procedures if fractures are present.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the wound, including mechanism of injury, foreign body assessment, and initial management steps.

Common Clinical Scenarios

Patients with acute puncture wounds presenting to the emergency department for evaluation and treatment.

Billing Considerations

Timely documentation is crucial for coding and billing, especially in cases requiring immediate surgical intervention.

Coding Guidelines

Inclusion Criteria

Use S51.849 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including the foreign body and any associated complications

Exclusion Criteria

Do NOT use S51.849 When
  • Exclude codes for superficial wounds or other types of injuries that do not involve a foreign body

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and drainage of abscess, complicated

Clinical Scenario

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

Documentation Requirements

Document the size, location, and nature of the abscess.

Specialty Considerations

Orthopedic surgeons may need to document the need for drainage in the context of foreign body removal.

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 ability to capture the complexity of these injuries and their associated treatments.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of puncture wounds, improving the ability to capture the complexity of these injuries and their associated treatments.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of puncture wounds, improving the ability to capture the complexity of these injuries and their associated treatments.

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 significance of coding S51.849 accurately?

Accurate coding of S51.849 is crucial for proper reimbursement, tracking of injury types, and ensuring that patients receive appropriate care based on the severity and specifics of their injuries.