ICD 10 CM S31.135D | Description & Clinical Information
ICD 10 S31.135D describes a specific type of injury, namely a puncture wound in the periumbilical 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 is coded for subsequent encounters.
Official Description Of S31.135D
The ICD 10 CM book defines ICD 10 code S31.135D 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 S31.135D
The diagnosis describes by the ICD 10 CM S31.135D code refers to a specific type of injury that may result in pain, bleeding, numbness, paralysis, or weakness in the periumbilical region of the abdominal wall. The injury occurs when a puncture wound has happened without a foreign body entering the peritoneal cavity. This specific type of injury can occur in many ways, such as an accidental stabbing or a surgical procedure gone wrong.
When a patient presents the symptoms involving the periumbilical region of the abdominal wall, healthcare providers will diagnose the condition based on the patient’s personal history and physical examination. During the physical examination, they will assess the wound, nerve or blood supply and may even use an X-ray to determine the extent of the damage. When healthcare providers suspect that the wound may lead to nerve damage, they may need to perform additional tests to obtain a more accurate diagnosis.
The treatment options for this type of injury include various techniques such as stopping any bleeding, cleaning, debriding, and repairing the wound. Applying appropriate topical medication and dressing to the affected area is also necessary to facilitate the healing process. Healthcare providers may also administer medications such as analgesics to reduce pain, antibiotics to prevent and treat any infections and tetanus prophylaxis to prevent the onset of tetanus.
Nonsteroidal antiinflammatory drugs (NSAIDs) may also be administered to alleviate pain and inflammation at the affected site. Physical therapy may also be necessary to help patients regain their strength and mobility in the affected area. In severe cases, surgical interventions may be necessary to repair the affected tissues and nerves.
Patients that have sustained injuries in the periumbilical region of the abdominal wall should seek medical attention as soon as possible, after sustaining the injury. Prompt attention can mean the difference between complete healing and long-term damage. It is always recommended to follow through with any prescribed treatment plans and work closely with healthcare providers to ensure proper recovery.
In conclusion, the ICD 10 CM S31.135D diagnosis code can be used to identify injuries that have occurred within the periumbilical region of the abdominal wall. A comprehensive approach is necessary when treating this type of injury, which includes a thorough assessment, immediate treatment, and proper follow-up care. By providing patients with the necessary care and monitoring, healthcare providers will be able to produce the most favorable outcomes for those that have experienced this type of injury.
