2025 ICD-10-CM code S01.311A
(Active) Effective Date: N/A Injury to the head - Open wound of ear Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Laceration without foreign body of the right ear. This code applies to the initial encounter.
Medical necessity for treatment of an ear laceration is based on the potential for complications such as infection, bleeding, permanent scarring, and functional impairment. The extent of the laceration, location, and associated injuries will influence the course of treatment.
Diagnosis is based on patient history and physical examination to assess the wound, nerve, or blood supply. Treatment includes stopping bleeding, cleaning, debriding, and repairing the wound; applying topical medication and dressings; and administering medications such as analgesics, antibiotics, tetanus prophylaxis, and NSAIDs.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: A cut or tear in your right ear without anything stuck in it.This is for the first time you're seeing a doctor for this injury.
Laceration without a foreign body of the right ear, initial encounter.An irregular deep cut or tear in the skin or tissue of the right ear without retention of any foreign object, occurring during the initial encounter for this injury.
Example 1: A patient presents to the emergency room with a laceration to their right ear after being struck by a tree branch. There is no foreign body present in the wound., A child is brought to their pediatrician after falling and cutting their right ear on a sharp edge. The wound is cleaned and sutured, and no foreign material is found., An adult presents to an urgent care clinic with a cut on their right ear after accidentally tearing it on a piece of jewelry.The wound is superficial and does not require sutures. No foreign body is present.
Documentation should include the cause of the laceration, location (right ear), presence or absence of a foreign body, depth and extent of the wound, associated symptoms (e.g., bleeding, pain), treatment provided (e.g., cleaning, suturing), and any complications.
- Specialties:Emergency Medicine, Family Medicine, Pediatrics, Otolaryngology, Plastic Surgery
- Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital, Urgent Care Facility, Outpatient Surgical Center,Military Treatment Facility, etc.