Puncture wound w/o foreign body of left upper arm, subs

Puncture wound without foreign body of left upper arm, subsequent encounter

📋Clinical Description

This code describes a wound caused by a sharp object penetrating the skin of the left upper arm, where no foreign material remains embedded. It specifically indicates that the patient is receiving follow-up care for this injury, such as wound checks, dressing changes, or monitoring for complications.

🎯When to Use

This code is appropriate for subsequent visits related to a left upper arm puncture wound without a retained foreign body. Examples include a patient returning for a scheduled wound re-evaluation, antibiotic treatment follow-up, or assessment of healing progress after the initial injury.

💡Coding Tips

Ensure documentation specifies "left upper arm" and "subsequent encounter."
Verify that no foreign body was noted or removed during the initial or subsequent encounters.
Pair with an external cause code (V00-Y99) to describe the circumstances of the injury.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S41.132Puncture wound without foreign body of left upper arm

S41.132D(current)

Crosswalks

V58.89ApproxICD-9

Same Category

S41Open wound of shoulder and upper arm S41.0Open wound of shoulder S41.00Unspecified open wound of shoulder S41.001Unspecified open wound of right shoulder S41.001AUnspecified open wound of right shoulder, initial encounter