Puncture wound with foreign body of hip
ICD-10 S71.04 is a billable code used to indicate a diagnosis of puncture wound with foreign body of hip.
A puncture wound with a foreign body of the hip typically occurs when an object penetrates the skin and underlying tissues, potentially damaging muscles, tendons, and other structures in the hip region. This type of injury can result from various incidents, including falls, accidents, or penetrating trauma. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. Clinically, patients may present with localized pain, swelling, and signs of infection such as redness and discharge. Imaging studies, such as X-rays or CT scans, may be necessary to assess the extent of the injury and the location of the foreign body. Treatment often involves surgical intervention to remove the foreign object, debride any necrotic tissue, and repair any damaged structures. Post-operative care is crucial to prevent complications and ensure proper healing. This code is particularly relevant in orthopedic trauma surgery, where the management of such injuries is critical for restoring function and mobility.
Detailed operative notes describing the procedure, foreign body removal, and any repairs made.
Patients presenting with puncture wounds from falls or accidents requiring surgical intervention.
Ensure that all surgical findings and complications are documented to support the coding.
Comprehensive documentation of the initial assessment, imaging results, and treatment provided.
Patients with acute puncture wounds presenting to the emergency department.
Document the mechanism of injury and any immediate interventions performed.
Used when a foreign body is suspected in the hip joint requiring aspiration.
Document the indication for the procedure and findings.
Orthopedic surgeons should ensure that the procedure is justified based on clinical findings.
The primary documentation includes a detailed description of the puncture wound, the type of foreign body, the mechanism of injury, and any surgical interventions performed.
