Lacerat abd wall w fb, r upper q w/o penet perit cav, subs

This code describes a cut or tear in the skin and underlying tissues of the upper right abdomen that also involves a foreign object, such as glass or a splinter. Importantly, the injury does not extend into the abdominal cavity, and this code is used for follow-up care after the initial treatment.

This code is appropriate for subsequent encounters when a patient presents for wound care, removal of sutures, or evaluation of healing for a laceration in the right upper quadrant of the abdominal wall that contained a foreign body and did not penetrate the peritoneum. It would be used after the initial repair of such an injury.

• Ensure documentation specifies the right upper quadrant and explicitly states "without penetration into peritoneal cavity."
• Verify this is a subsequent encounter; an initial encounter would use a different 7th character.
• Confirm the presence of a foreign body within the laceration.