Puncture wound w/o foreign body of vocal cord, init encntr

This code signifies a penetrating injury to the vocal cord, such as from a sharp object, where no foreign material remains embedded in the tissue. The injury does not involve a laceration or an open wound with a retained foreign body. This specific code is for the initial treatment of the injury.

Use this code when documentation clearly indicates a puncture wound to the vocal cord without mention of a retained foreign body. This would typically be seen in emergency department visits or initial consultations for acute laryngeal trauma. Supporting documentation would include physician notes detailing the mechanism of injury, examination findings confirming a puncture, and ruling out a foreign body.

• Differentiate from S11.034A (puncture wound with foreign body) based on documentation of retained material.
• Ensure the "A" seventh character for initial encounter is appropriate; subsequent care would use "D" or "S".
• Confirm the injury is specifically to the vocal cord and not a more general laryngeal puncture.