Laceration without foreign body, unspecified thigh
ICD-10 S71.119 is a billable code used to indicate a diagnosis of laceration without foreign body, unspecified thigh.
S71.119 refers to a laceration of the thigh that does not involve a foreign body. This injury can occur due to various mechanisms, including trauma from falls, accidents, or sharp objects. The thigh is a critical area as it houses major blood vessels, nerves, and muscles, making lacerations potentially serious. The absence of a foreign body indicates that the injury is primarily soft tissue damage without complications from external objects. Clinically, such lacerations may require thorough cleaning, suturing, and monitoring for infection. In cases where the laceration is deep, there may be a risk of damage to underlying structures, including muscles and nerves, necessitating further orthopedic evaluation. Proper documentation is essential to capture the extent of the injury and any associated treatments, especially in the context of orthopedic trauma surgery, where the management of soft tissue injuries can significantly impact surgical outcomes and recovery. Accurate coding is crucial for appropriate reimbursement and to reflect the complexity of care provided.
Detailed description of the laceration, including depth, location, and any associated injuries.
Lacerations resulting from sports injuries, falls, or accidents requiring surgical intervention.
Ensure to document any surgical procedures performed, including repair techniques and materials used.
Comprehensive assessment of the laceration, including mechanism of injury and initial treatment provided.
Patients presenting with acute lacerations from trauma requiring immediate care.
Document any imaging studies performed to rule out underlying fractures or dislocations.
Used for simple laceration repairs in the thigh area.
Document the size and location of the laceration, along with the repair technique used.
Orthopedic surgeons should ensure to document any additional procedures performed.
S71.119 is used for lacerations without foreign bodies, while S71.11 is for lacerations that involve a foreign body.
