T81.539A
ICD-10-CMPerforation due to foreign body accidentally left in body following unspecified procedure, initial encounter
This code signifies a perforation that has occurred as a direct result of a foreign object, which was unintentionally retained in the patient's body after a medical procedure. The initial encounter indicates this is the first time the patient is being seen for this specific complication.
Apply this code when documentation clearly states a perforation caused by a retained surgical item (e.g., sponge, instrument fragment) or other foreign body left during a prior procedure. This is appropriate for the initial presentation and treatment of this iatrogenic injury.
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