Laceration with foreign body, unspecified lower leg
ICD-10 S81.829 is a billable code used to indicate a diagnosis of laceration with foreign body, unspecified lower leg.
S81.829 refers to a laceration in the lower leg that is accompanied by a foreign body, but the specific location of the laceration is not specified. This code is often used in cases where patients present with injuries from accidents, falls, or penetrating trauma that result in lacerations. The lower leg encompasses both the tibia and fibula, and injuries in this area can lead to complications such as infection, delayed healing, or damage to underlying structures including nerves and blood vessels. In orthopedic practice, such injuries may require careful evaluation to rule out associated fractures, ligament tears, or other soft tissue injuries. Treatment may involve surgical intervention to remove the foreign body, repair the laceration, and address any additional injuries. Proper documentation is crucial to ensure accurate coding and reimbursement, as well as to provide a clear clinical picture for future care.
Detailed descriptions of the laceration, foreign body type, and any associated injuries or procedures performed.
Patients presenting with lacerations from falls, sports injuries, or accidents requiring surgical intervention.
Ensure that all associated injuries (e.g., fractures, ligament tears) are documented and coded appropriately.
Comprehensive assessment of the injury, including mechanism of injury, foreign body identification, and initial treatment provided.
Patients with acute lacerations from trauma, requiring immediate care and potential referral to specialists.
Document the patient's vital signs and any immediate interventions performed to support the diagnosis.
Used when a simple laceration repair is performed on the lower leg.
Document the size of the laceration and the method of repair.
Orthopedic surgeons should document any associated injuries.
Used when foreign body removal and debridement are performed.
Document the extent of debridement and foreign body type.
Ensure that the foreign body is clearly identified in the operative report.
Documentation should include the mechanism of injury, the type of foreign body, the depth and extent of the laceration, and any associated injuries or complications.
