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ICD-10 Guide
ICD-10 CodesS71.14

S71.14

Billable

Puncture wound with foreign body of thigh

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

Code Description

ICD-10 S71.14 is a billable code used to indicate a diagnosis of puncture wound with foreign body of thigh.

Key Diagnostic Point:

A puncture wound with a foreign body in the thigh is a specific type of injury characterized by a deep penetration of the skin and underlying tissues, often caused by sharp objects such as nails, needles, or other foreign materials. This injury can lead to complications such as infection, tissue damage, and potential vascular or nerve injury, depending on the depth and location of the wound. In cases where the foreign body remains embedded, surgical intervention may be necessary to remove it and to repair any associated damage. The thigh, being a muscular area, can sustain significant trauma, and the presence of a foreign body can complicate the healing process. Clinicians must assess the wound for signs of infection, perform imaging studies if necessary, and document the specifics of the injury, including the nature of the foreign body and any associated injuries, such as fractures or dislocations. Proper coding is essential for accurate billing and to ensure appropriate treatment protocols are followed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the foreign body type and location
  • Potential for associated injuries (e.g., fractures, dislocations)
  • Variability in treatment approaches based on the foreign body
  • Differentiation from other types of wounds (e.g., lacerations, abrasions)

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document associated injuries or complications
  • Lack of clarity regarding the treatment provided
  • Improper linkage between diagnosis and procedure codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes including the type of foreign body, surgical approach, and any repairs made.

Common Clinical Scenarios

Removal of foreign bodies from the thigh, treatment of associated fractures, and management of infections.

Billing Considerations

Ensure that all surgical interventions are documented, including imaging studies and follow-up care.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes including mechanism of injury, initial treatment provided, and any imaging results.

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents or assaults, requiring immediate care.

Billing Considerations

Document the patient's vital signs and any immediate interventions performed to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use S71.14 When
  • According to ICD
  • 10 guidelines, S71
  • 14 should be used when a puncture wound with a foreign body is documented
  • It is essential to ensure that the foreign body is explicitly mentioned in the medical record
  • If the foreign body is removed, the procedure should be coded accordingly

Exclusion Criteria

Do NOT use S71.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and drainage of abscess

Clinical Scenario

Used when an abscess forms due to a puncture wound with a foreign body.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons should document any associated injuries or complications.

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 puncture wounds with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes, which can improve patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes, which can improve patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes, which can improve patient care and resource allocation.

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 should be documented to support the use of S71.14?

Documentation should include the type of foreign body, the mechanism of injury, any associated injuries, and the treatment provided, including surgical interventions if applicable.