ICD 10 CM S01.442 | Description & Clinical Information

ICD 10 S01.442 describes a specific type of injury, namely a puncture wound with a foreign body, that occurs in the left cheek and temporomandibular area, resulting from an accident involving a sharp object such as needles, glass, nails, or wood splinters, which creates a small hole in the skin or mucous membranes and leaves a foreign object embedded in the tissue.

Official Description Of S01.442

The ICD 10 CM book defines ICD 10 code S01.442 as:

When To Use S01.442

The diagnosis describes by ICD 10 CM S01.442 pertains to puncture wounds with foreign bodies located in the left cheek and temporomandibular area. Patients who sustain this type of injury typically experience discomfort and pain in the affected site, in addition to mild bleeding, swelling, redness, numbness, paralysis, or weakness due to nerve injury. Another possible complication of such wounds includes pus or watery discharge, resulting from infection. Patients may also experience restriction of jaw motion.

To diagnose the condition, medical providers assess the patient’s personal history to gain an understanding of how they incurred the injury. Providers must then complete a physical examination to evaluate the wound, nerve and blood supply, as well as the assessment of jaw motion. Medical professionals may perform X-rays to determine the extent of damage to the area.

Once diagnosed, medical providers have several treatment options. The first step in treatment is to stop any bleeding and remove the foreign body. Medical professionals will then clean, debride, and repair the wound. Applying appropriate topical medication and dressings is also important. Medical providers will consider administering medications such as analgesics, antibiotics, tetanus prophylaxis, and nonsteroidal anti-inflammatory drugs to manage pain, reduce swelling, and help prevent infection. If an infection does occur, medical providers will take appropriate steps to treat it.

In some cases, medical professionals may need to perform surgery. This procedure may be necessary to repair any ruptured blood vessels or nerves that are causing pain or weakness in the affected area. Patients with nerve damage may require long-term follow-up with a specialist to monitor their progress and ensure that any residual complications are addressed.

It is vital that patients seek medical attention immediately if they experience any symptoms associated with puncture wounds with foreign bodies. This is especially true if the wound is in a sensitive area such as the face or temporomandibular joint. Early identification and intervention can help minimize complications and improve outcomes.