W27.3XXS Contact with needle (sewing), sequela

ICD10CM code

#### Name of the Condition
- Common name(s): Sewing Needle Injury, Needle Puncture Wound
- Medical term: Contact with needle (sewing), sequela

#### Summary
- Sewing needle injuries occur when a needle punctures the skin, leading to potential issues if not properly addressed. "Sequela" refers to complications or conditions arising as a consequence of the initial needle contact.

#### Causes
- Accidental puncture while sewing or handling needles.
- Improper handling or storage of sewing needles.

#### Risk Factors
- Frequent sewing activities without protective measures.
- Inadequate lighting or workspace organization.
- Lack of experience or awareness when handling sewing equipment.

#### Symptoms
- Localized pain or discomfort at the puncture site.
- Swelling or redness around the wound.
- Possible infection signs such as warmth or pus discharge.

#### Diagnosis
- Physical examination of the puncture wound.
- Assessment of symptoms to rule out infections or foreign body presence.

#### Treatment Options
- Cleaning of the wound to prevent infection.
- Application of antiseptic and bandaging.
- Tetanus booster if last vaccination was over five years ago.
- Antibiotics in case of infection.

#### Prognosis and Follow-Up
- Most sewing needle injuries heal without issues if promptly and properly treated.
- Follow-up may be necessary in cases of infection or retained needle fragments.

#### Complications
- Infection at the puncture site if left untreated.
- Scarring or persistent pain.
- Rarely, retained needle fragments causing ongoing issues.

#### Lifestyle & Prevention
- Use of thimbles or protective gear when sewing.
- Ensuring good lighting and work environment.
- Proper storage and handling of needles to prevent accidental contact.

#### When to Seek Professional Help
- If signs of infection develop: increased redness, swelling, heat, or discharge.
- If pain intensifies or does not improve with basic first aid.
- Suspected foreign object retention in the wound.

#### Additional Resources
- [American Sewing Guild](https://www.asg.org) - for sewing safety tips and community support.
- [Centers for Disease Control and Prevention (CDC)](https://www.cdc.gov) - for guidance on wound care and infection prevention.

#### Tips for Medical Coders
- Verify that the condition is a sequela by checking if complications are due to a previous needle injury.
- Avoid coding errors by ensuring proper identification of the sequela nature (use 'S' for sequela in the specific ICD code).

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