ICD 10 CM S31.132A | Description & Clinical Information
ICD 10 S31.132A describes a specific type of injury, namely a puncture wound in the epigastric region of the abdominal wall caused by a sharp object, such as needles, glass, nails, or wood splinters, which does not involve the penetration of the peritoneal cavity and does not retain any foreign body, and this code is used for the initial encounter.
Official Description Of S31.132A
The ICD 10 CM book defines ICD 10 code S31.132A as:
Excludes2: open wound of abdominal wall with penetration into peritoneal cavity (S31.6-)
Excludes1: traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)
Excludes2: open wound of hip (S71.00-S71.02)
open fracture of pelvis (S32.1–S32.9 with 7th character B)
Code also: any associated:
spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)
wound infection
When To Use S31.132A
The diagnosis code ICD-10-CM S31.132A refers to a specific type of injury that can occur in the epigastric region of the abdominal wall. This type of injury involves a puncture wound and does not involve the penetration into the peritoneal cavity. The diagnosis describes a case where a person experiences pain at the affected site, bleeding, numbness, paralysis, weakness, or other symptoms due to nerve injury, swelling, infection, inflammation or bruising.
To accurately diagnose this condition, healthcare providers rely on the patient’s personal history, as well as a thorough physical examination. They inspect the wound to assess the extent of the damage, as well as to evaluate the nerve and blood supply. Additionally, they may utilize X-ray technology to gain a better understanding of the injury.
Treatment options for a puncture wound without a foreign body vary depending on the specifics of the injury. The healthcare provider may need to perform first aid techniques, like stopping the bleeding and cleaning the wound. In addition, the provider may need to debride the wound and repair it in some way. Application of topical medication may be necessary to soothe the affected area, and dressing may also be required. Depending on the severity of the injury, medications like analgesics, antibiotics, tetanus prophylaxis, and nonsteroidal anti-inflammatory drugs may be prescribed.
A puncture wound in the epigastric region can be particularly dangerous because of the potential for nerve injury. This nerve damage can cause a wide range of symptoms and may require special caution during the recovery process. It may be necessary for a healthcare provider to monitor the affected person over an extended period to ensure that no complications arise.
It is important to note that proper diagnosis and treatment of a puncture wound in the epigastric region is essential to ensure proper healing and recovery. Patients with this condition should always follow the instructions of their healthcare providers to avoid any further damage or complications. With proper care and attention, patients can expect to make a full recovery from this type of injury.
