S31.631A
ICD-10-CMPuncture wound without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
This code signifies a puncture injury to the left upper abdominal wall that has breached the peritoneal lining, but without any foreign object remaining in the wound. It indicates the initial treatment for such an injury, implying the patient is presenting for the first time for this specific trauma.
This code is appropriate for documenting a patient presenting to the emergency department or clinic with a stab wound or other penetrating injury to the left upper abdomen, where surgical exploration or imaging confirms peritoneal penetration. It should be used when there is no evidence of a retained foreign body.
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