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ICD-10 Guide
ICD-10 CodesS71.12

S71.12

Billable

Laceration with foreign body of thigh

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/25/2025

Code Description

ICD-10 S71.12 is a billable code used to indicate a diagnosis of laceration with foreign body of thigh.

Key Diagnostic Point:

S71.12 refers to a laceration of the thigh that is complicated by the presence of a foreign body. This condition typically arises from traumatic injuries, such as accidents or falls, where sharp objects penetrate the skin and underlying tissues. The thigh, being a muscular region, can sustain significant damage, leading to complications such as infection, hemorrhage, or damage to underlying structures like muscles, nerves, and blood vessels. The presence of a foreign body can complicate the healing process, necessitating surgical intervention to remove the object and repair the laceration. In orthopedic trauma surgery, careful assessment is required to determine the extent of the injury and the appropriate surgical approach. This may involve imaging studies to evaluate the foreign body’s location and any associated fractures or dislocations. Proper coding is essential for accurate billing and to reflect the complexity of the injury, which may involve multiple specialties including orthopedics and trauma surgery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Potential for associated fractures or dislocations
  • Need for surgical intervention and detailed operative reports
  • Variability in documentation quality across providers

Audit Risk Factors

  • Inadequate documentation of the foreign body
  • Failure to document associated injuries
  • Incorrect coding of the laceration depth
  • Lack of clarity in operative reports

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes including the type of laceration, foreign body characteristics, and surgical procedures performed.

Common Clinical Scenarios

Patients presenting with traumatic thigh injuries requiring surgical intervention for laceration repair and foreign body removal.

Billing Considerations

Ensure accurate documentation of the mechanism of injury and any associated fractures or dislocations.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes including initial evaluation, imaging results, and treatment provided.

Common Clinical Scenarios

Patients with acute traumatic injuries to the thigh presenting to the emergency department.

Billing Considerations

Document the patient's vital signs, mechanism of injury, and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S71.12 When
  • According to ICD
  • 10 guidelines, S71
  • 12 should be used when a laceration of the thigh is accompanied by a foreign body
  • Coders must ensure that the documentation supports the presence of a foreign body and any associated injuries

Exclusion Criteria

Do NOT use S71.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

Repair of laceration, face, ears, eyelids, neck, scalp, axilla, genitalia, trunk, hands, feet

Clinical Scenario

Used when performing laceration repair with foreign body removal.

Documentation Requirements

Operative report detailing the laceration, foreign body, and repair method.

Specialty Considerations

Orthopedic surgeons must document the complexity of the repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 primary consideration when coding S71.12?

The primary consideration is the presence of a foreign body in the laceration, which necessitates specific documentation and coding to reflect the complexity of the injury.