S31.001A
ICD-10-CMUnspecified open wound of lower back and pelvis with penetration into retroperitoneum, initial encounter
This code signifies an open injury to the lower back or pelvic region where the wound extends deeply enough to breach the retroperitoneal space. This penetration implies potential damage to organs or structures located behind the peritoneum, such as the kidneys, ureters, or major blood vessels. The "unspecified" nature indicates that the specific type of open wound (e.g., laceration, puncture) is not documented.
This code is appropriate for initial encounters involving trauma to the lower back or pelvis with documented or suspected retroperitoneal involvement, but without specific details about the wound type. Examples include stab wounds, gunshot wounds, or severe crush injuries to this area where imaging or surgical exploration confirms retroperitoneal penetration.
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