S21.441A
ICD-10-CMPuncture wound with foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter
This code signifies a penetrating injury to the right posterior chest wall, where an object has pierced the skin and underlying tissues, extending into the thoracic cavity. The presence of a foreign body within the wound is a key characteristic, indicating that part of the penetrating object or other material remains embedded. This type of injury carries a high risk of damage to intrathoracic organs such as the lung, heart, or major blood vessels.
Use this code for initial encounters when documentation clearly states a puncture wound to the right posterior thorax with evidence of a foreign body and penetration into the chest cavity. This would include scenarios like a stab wound with a retained knife fragment, a gunshot wound where a bullet fragment is lodged within the thoracic cavity, or an impalement injury with a portion of the impaling object remaining.
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