S21.259A
ICD-10-CMOpen bite of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter
This code describes an open wound, such as a laceration or puncture, located on the posterior aspect of the chest wall. Importantly, the injury does not extend into the pleural space or mediastinum, meaning the thoracic cavity itself has not been breached. This is an initial encounter for this specific injury.
Use this code for patients presenting with an open wound to the back of the chest that is superficial to the thoracic cavity. Examples include a stab wound or deep laceration to the back that is confirmed not to have penetrated the lung or other intrathoracic structures. This code is appropriate for the first time the patient is receiving active treatment for this injury.
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