Laceration without foreign body, right lower leg
ICD-10 S81.811 is a billable code used to indicate a diagnosis of laceration without foreign body, right lower leg.
S81.811 refers to a laceration of the right lower leg that does not involve any foreign body. This injury typically occurs due to trauma, such as falls, accidents, or sharp objects. The right lower leg encompasses the area from the knee to the ankle, including the tibia and fibula. Lacerations can vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and even deeper structures like muscles and tendons. In cases where the laceration is deep, there may be a risk of complications such as infection, delayed healing, or damage to underlying structures. Proper assessment and management are crucial, including cleaning the wound, suturing if necessary, and monitoring for signs of infection. In the context of knee injuries, tibial or fibular fractures, and ligament tears, it is essential to differentiate between a simple laceration and more complex injuries that may require orthopedic intervention. This code is vital for accurately capturing the nature of the injury for treatment planning and insurance reimbursement.
Detailed descriptions of the injury, treatment provided, and any surgical interventions performed.
Lacerations associated with fractures, ligament injuries, or surgical repairs.
Ensure that all associated injuries are documented to support the coding of multiple conditions.
Thorough documentation of the mechanism of injury, initial assessment, and treatment provided in the emergency setting.
Patients presenting with traumatic lacerations requiring immediate care.
Accurate coding of the injury site and any immediate interventions performed.
Used when a laceration on the right lower leg requires simple closure.
Document the size and location of the laceration, as well as the repair technique used.
Orthopedic surgeons may perform more complex repairs if associated injuries are present.
S81.811 is used for lacerations without foreign bodies, while S81.812 is for lacerations that involve a foreign body. Accurate documentation is essential to determine which code to use.
