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ICD-10 Guide
ICD-10 CodesS81.82

S81.82

Billable

Laceration with foreign body of lower leg

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/26/2025

Code Description

ICD-10 S81.82 is a billable code used to indicate a diagnosis of laceration with foreign body of lower leg.

Key Diagnostic Point:

S81.82 refers to a laceration of the lower leg that is complicated by the presence of a foreign body. This condition typically arises from traumatic injuries such as falls, accidents, or penetrating injuries where an object becomes embedded in the soft tissues of the lower leg. The lower leg consists of the tibia and fibula, and injuries in this area can lead to complications such as infection, delayed healing, and damage to underlying structures including muscles, nerves, and blood vessels. In cases where the foreign body is not removed promptly, there is a risk of chronic pain and functional impairment. Treatment often involves surgical intervention to excise the foreign body, repair the laceration, and address any associated injuries such as fractures or ligament tears. Proper documentation is crucial to capture the complexity of the injury, including the type of foreign body, the extent of the laceration, and any additional procedures performed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Potential for associated fractures or ligament tears
  • Variability in surgical procedures required
  • Need for detailed documentation of the injury site

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document associated injuries (e.g., fractures)
  • Lack of clarity on the surgical procedures performed
  • Inconsistent coding of related diagnoses

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports including descriptions of the laceration, foreign body removal, and any repairs performed.

Common Clinical Scenarios

Patients presenting with traumatic lacerations from accidents, sports injuries, or falls requiring surgical intervention.

Billing Considerations

Ensure all associated injuries are documented, including fractures or ligament tears, to support comprehensive coding.

Emergency Medicine

Documentation Requirements

Thorough documentation of the mechanism of injury, initial assessment, and any immediate interventions performed.

Common Clinical Scenarios

Patients with acute lacerations from accidents or violence presenting to the emergency department.

Billing Considerations

Document the presence of foreign bodies and any imaging studies performed to assess for fractures or other injuries.

Coding Guidelines

Inclusion Criteria

Use S81.82 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury site, type of foreign body, and any associated procedures
  • Include details on the mechanism of injury and any complications

Exclusion Criteria

Do NOT use S81.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

Simple repair of laceration, face, ears, eyelids, scalp; 2.5 cm or less

Clinical Scenario

Used when a simple repair is performed on a laceration with a foreign body.

Documentation Requirements

Document the size of the laceration and the presence of the foreign body.

Specialty Considerations

Orthopedic surgeons should ensure that the complexity of the repair is accurately reflected.

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, improving 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, improving 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 types of foreign bodies are commonly associated with S81.82?

Common foreign bodies include metal fragments, glass shards, wood splinters, and plastic debris, which can all lead to complications if not properly addressed.