ICD 10 CM S31.642D | Description & Clinical Information

ICD 10 S31.642D describes a specific medical condition characterized by a puncture wound caused by a foreign object in the epigastric region of the abdominal wall, which penetrates the peritoneal cavity, a space within the peritoneum, and typically results from an accidental injury involving a sharp object such as needles, glass, nails, or wood splinters, and this code is used for subsequent encounters.

Official Description Of S31.642D

The ICD 10 CM book defines ICD 10 code S31.642D as:

When To Use S31.642D

The diagnosis describes by the ICD-10-CM S31.642D code is a puncture wound with a foreign body located in the epigastric region of the abdominal wall that penetrates into the peritoneal cavity. This condition can cause a range of symptoms, including pain and tenderness at the affected site, bleeding, shock, bruising, infection, injury to the abdominal organs, fever, nausea with vomiting, swelling, and inflammation.

Medical providers use a variety of tools to diagnose this condition accurately. They will first take the patient’s personal history, including any recent trauma or injury to the abdominal area. Physical examination is then performed to assess the wound, nerves or blood supply. Advanced imaging techniques, such as X-rays, computed tomography, or CT scan, and ultrasound may be used to evaluate the extent of the injury.

Laboratory evaluations may be necessary to confirm the presence of infection, and a peritoneal lavage may be performed to determine the extent of damage to the abdominal organs. Once the condition is diagnosed, providers will work to create a personalized treatment plan for the patient.

There are several options for treating a puncture wound with a foreign body in the epigastric region of the abdominal wall that penetrates into the peritoneal cavity. The primary goal is to stop any bleeding and clean, debride and repair the wound. If necessary, the foreign body will be removed from the wound. Appropriate topical medication will then be applied to the wound, and it will be dressed accordingly.

Patients may also receive intravenous fluids and medication to manage pain, including analgesics, antibiotics, and nonsteroidal anti-inflammatory drugs, or NSAIDs. Tetanus prophylaxis may be necessary to prevent future infection.

In some cases, surgical repair of injured organs may be necessary for complete recovery. Patients may require ongoing monitoring and follow-up care to ensure that the wound heals and there are no further complications.

In summary, the ICD-10-CM S31.642D code describes a puncture wound with a foreign body in the epigastric region of the abdominal wall that penetrates into the peritoneal cavity. Diagnosis is made by evaluating the patient’s history and performing a physical examination as well as advanced imaging techniques and laboratory evaluations. Treatment options include stoppage of bleeding, wound debridement and repair, foreign body removal, use of appropriate medication, and surgical repair when necessary. Ongoing monitoring is typically required for complete recovery.