S30-S39
Medium Complexity

Injuries to the neck

Primary Specialty: Emergency Medicine
Last Updated: 2025-09-10

ICD-10 Codes (200)

198 billable
0 category headers
S31
Open wound of abdomen, lower back, pelvis and external genitals
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S31.0
Billable
Open wound of lower back and pelvis
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S31.00
Billable
Unspecified open wound of lower back and pelvis
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S31.000
Billable
Unspecified open wound of lower back and pelvis without penetration into retroperitoneum
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S31.001
Billable
Unspecified open wound of lower back and pelvis with penetration into retroperitoneum
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S31.01
Billable
Laceration without foreign body of lower back and pelvis
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S31.010
Billable
Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum
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S31.011
Billable
Laceration without foreign body of lower back and pelvis with penetration into retroperitoneum
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S31.02
Billable
Laceration with foreign body of lower back and pelvis
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S31.020
Billable
Laceration with foreign body of lower back and pelvis without penetration into retroperitoneum
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S31.021
Billable
Laceration with foreign body of lower back and pelvis with penetration into retroperitoneum
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S31.03
Billable
Puncture wound without foreign body of lower back and pelvis
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S31.030
Billable
Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum
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S31.031
Billable
Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum
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S31.04
Billable
Puncture wound with foreign body of lower back and pelvis
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S31.040
Billable
Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum
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S31.041
Billable
Puncture wound with foreign body of lower back and pelvis with penetration into retroperitoneum
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S31.05
Billable
Open bite of lower back and pelvis
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S31.050
Billable
Open bite of lower back and pelvis without penetration into retroperitoneum
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S31.051
Billable
Open bite of lower back and pelvis with penetration into retroperitoneum
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S31.1
Billable
Open wound of abdominal wall without penetration into peritoneal cavity
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S31.10
Billable
Unspecified open wound of abdominal wall without penetration into peritoneal cavity
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S31.100
Billable
Unspecified open wound of abdominal wall, right upper quadrant without penetration into peritoneal cavity
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S31.101
Billable
Unspecified open wound of abdominal wall, left upper quadrant without penetration into peritoneal cavity
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S31.102
Billable
Unspecified open wound of abdominal wall, epigastric region without penetration into peritoneal cavity
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S31.103
Billable
Unspecified open wound of abdominal wall, right lower quadrant without penetration into peritoneal cavity
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S31.104
Billable
Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity
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S31.105
Billable
Unspecified open wound of abdominal wall, periumbilic region without penetration into peritoneal cavity
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S31.109
Billable
Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity
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S31.11
Billable
Laceration without foreign body of abdominal wall without penetration into peritoneal cavity
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S31.110
Billable
Laceration without foreign body of abdominal wall, right upper quadrant without penetration into peritoneal cavity
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S31.111
Billable
Laceration without foreign body of abdominal wall, left upper quadrant without penetration into peritoneal cavity
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S31.112
Billable
Laceration without foreign body of abdominal wall, epigastric region without penetration into peritoneal cavity
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S31.113
Billable
Laceration without foreign body of abdominal wall, right lower quadrant without penetration into peritoneal cavity
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S31.114
Billable
Laceration without foreign body of abdominal wall, left lower quadrant without penetration into peritoneal cavity
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S31.115
Billable
Laceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity
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S31.119
Billable
Laceration without foreign body of abdominal wall, unspecified quadrant without penetration into peritoneal cavity
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S31.12
Billable
Laceration with foreign body of abdominal wall without penetration into peritoneal cavity
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S31.120
Billable
Laceration of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity
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S31.121
Billable
Laceration of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity
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S31.122
Billable
Laceration of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity
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S31.123
Billable
Laceration of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity
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S31.124
Billable
Laceration of abdominal wall with foreign body, left lower quadrant without penetration into peritoneal cavity
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S31.125
Billable
Laceration of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity
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S31.129
Billable
Laceration of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity
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S31.13
Billable
Puncture wound of abdominal wall without foreign body without penetration into peritoneal cavity
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S31.130
Billable
Puncture wound of abdominal wall without foreign body, right upper quadrant without penetration into peritoneal cavity
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S31.131
Billable
Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity
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S31.132
Billable
Puncture wound of abdominal wall without foreign body, epigastric region without penetration into peritoneal cavity
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S31.133
Billable
Puncture wound of abdominal wall without foreign body, right lower quadrant without penetration into peritoneal cavity
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S31.134
Billable
Puncture wound of abdominal wall without foreign body, left lower quadrant without penetration into peritoneal cavity
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S31.135
Billable
Puncture wound of abdominal wall without foreign body, periumbilic region without penetration into peritoneal cavity
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S31.139
Billable
Puncture wound of abdominal wall without foreign body, unspecified quadrant without penetration into peritoneal cavity
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S31.14
Billable
Puncture wound of abdominal wall with foreign body without penetration into peritoneal cavity
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S31.140
Billable
Puncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity
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S31.141
Billable
Puncture wound of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity
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S31.142
Billable
Puncture wound of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity
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S31.143
Billable
Puncture wound of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity
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S31.144
Billable
Puncture wound of abdominal wall with foreign body, left lower quadrant without penetration into peritoneal cavity
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S31.145
Billable
Puncture wound of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity
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S31.149
Billable
Puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity
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S31.15
Billable
Open bite of abdominal wall without penetration into peritoneal cavity
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S31.150
Billable
Open bite of abdominal wall, right upper quadrant without penetration into peritoneal cavity
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S31.151
Billable
Open bite of abdominal wall, left upper quadrant without penetration into peritoneal cavity
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S31.152
Billable
Open bite of abdominal wall, epigastric region without penetration into peritoneal cavity
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S31.153
Billable
Open bite of abdominal wall, right lower quadrant without penetration into peritoneal cavity
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S31.154
Billable
Open bite of abdominal wall, left lower quadrant without penetration into peritoneal cavity
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S31.155
Billable
Open bite of abdominal wall, periumbilic region without penetration into peritoneal cavity
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S31.159
Billable
Open bite of abdominal wall, unspecified quadrant without penetration into peritoneal cavity
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S31.2
Billable
Open wound of penis
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S31.20
Billable
Unspecified open wound of penis
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S31.21
Billable
Laceration without foreign body of penis
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S31.22
Billable
Laceration with foreign body of penis
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S31.23
Billable
Puncture wound without foreign body of penis
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S31.24
Billable
Puncture wound with foreign body of penis
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S31.25
Billable
Open bite of penis
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S31.3
Billable
Open wound of scrotum and testes
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S31.30
Billable
Unspecified open wound of scrotum and testes
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S31.31
Billable
Laceration without foreign body of scrotum and testes
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S31.32
Billable
Laceration with foreign body of scrotum and testes
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S31.33
Billable
Puncture wound without foreign body of scrotum and testes
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S31.34
Billable
Puncture wound with foreign body of scrotum and testes
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S31.35
Billable
Open bite of scrotum and testes
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S31.4
Billable
Open wound of vagina and vulva
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S31.40
Billable
Unspecified open wound of vagina and vulva
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S31.41
Billable
Laceration without foreign body of vagina and vulva
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S31.42
Billable
Laceration with foreign body of vagina and vulva
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S31.43
Billable
Puncture wound without foreign body of vagina and vulva
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S31.44
Billable
Puncture wound with foreign body of vagina and vulva
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S31.45
Billable
Open bite of vagina and vulva
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S31.5
Billable
Open wound of unspecified external genital organs
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S31.50
Billable
Unspecified open wound of unspecified external genital organs
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S31.501
Billable
Unspecified open wound of unspecified external genital organs, male
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S31.502
Billable
Unspecified open wound of unspecified external genital organs, female
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S31.51
Billable
Laceration without foreign body of unspecified external genital organs
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S31.511
Billable
Laceration without foreign body of unspecified external genital organs, male
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S31.512
Billable
Laceration without foreign body of unspecified external genital organs, female
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S31.52
Billable
Laceration with foreign body of unspecified external genital organs
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S31.521
Billable
Laceration with foreign body of unspecified external genital organs, male
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S31.522
Billable
Laceration with foreign body of unspecified external genital organs, female
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S31.53
Billable
Puncture wound without foreign body of unspecified external genital organs
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S31.531
Billable
Puncture wound without foreign body of unspecified external genital organs, male
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S31.532
Billable
Puncture wound without foreign body of unspecified external genital organs, female
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S31.54
Billable
Puncture wound with foreign body of unspecified external genital organs
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S31.541
Billable
Puncture wound with foreign body of unspecified external genital organs, male
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S31.542
Billable
Puncture wound with foreign body of unspecified external genital organs, female
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S31.55
Billable
Open bite of unspecified external genital organs
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S31.551
Billable
Open bite of unspecified external genital organs, male
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S31.552
Billable
Open bite of unspecified external genital organs, female
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S31.6
Billable
Open wound of abdominal wall with penetration into peritoneal cavity
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S31.60
Billable
Unspecified open wound of abdominal wall with penetration into peritoneal cavity
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S31.600
Billable
Unspecified open wound of abdominal wall, right upper quadrant with penetration into peritoneal cavity
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S31.601
Billable
Unspecified open wound of abdominal wall, left upper quadrant with penetration into peritoneal cavity
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S31.602
Billable
Unspecified open wound of abdominal wall, epigastric region with penetration into peritoneal cavity
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S31.603
Billable
Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity
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S31.604
Billable
Unspecified open wound of abdominal wall, left lower quadrant with penetration into peritoneal cavity
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S31.605
Billable
Unspecified open wound of abdominal wall, periumbilic region with penetration into peritoneal cavity
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S31.609
Billable
Unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
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S31.61
Billable
Laceration without foreign body of abdominal wall with penetration into peritoneal cavity
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S31.610
Billable
Laceration without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
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S31.611
Billable
Laceration without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
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S31.612
Billable
Laceration without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity
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S31.613
Billable
Laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
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S31.614
Billable
Laceration without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
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S31.615
Billable
Laceration without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity
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S31.619
Billable
Laceration without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
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S31.62
Billable
Laceration with foreign body of abdominal wall with penetration into peritoneal cavity
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S31.620
Billable
Laceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
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S31.621
Billable
Laceration with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
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S31.622
Billable
Laceration with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity
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S31.623
Billable
Laceration with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
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S31.624
Billable
Laceration with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
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S31.625
Billable
Laceration with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity
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S31.629
Billable
Laceration with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
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S31.63
Billable
Puncture wound without foreign body of abdominal wall with penetration into peritoneal cavity
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S31.630
Billable
Puncture wound without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
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S31.631
Billable
Puncture wound without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
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S31.632
Billable
Puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity
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S31.633
Billable
Puncture wound without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
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S31.634
Billable
Puncture wound without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
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S31.635
Billable
Puncture wound without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity
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S31.639
Billable
Puncture wound without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
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S31.64
Billable
Puncture wound with foreign body of abdominal wall with penetration into peritoneal cavity
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S31.640
Billable
Puncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
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S31.641
Billable
Puncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
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S31.642
Billable
Puncture wound with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity
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S31.643
Billable
Puncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
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S31.644
Billable
Puncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
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S31.645
Billable
Puncture wound with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity
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S31.649
Billable
Puncture wound with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
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S31.65
Billable
Open bite of abdominal wall with penetration into peritoneal cavity
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S31.650
Billable
Open bite of abdominal wall, right upper quadrant with penetration into peritoneal cavity
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S31.651
Billable
Open bite of abdominal wall, left upper quadrant with penetration into peritoneal cavity
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S31.652
Billable
Open bite of abdominal wall, epigastric region with penetration into peritoneal cavity
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S31.653
Billable
Open bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity
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S31.654
Billable
Open bite of abdominal wall, left lower quadrant with penetration into peritoneal cavity
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S31.655
Billable
Open bite of abdominal wall, periumbilic region with penetration into peritoneal cavity
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S31.659
Billable
Open bite of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
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S31.8
Billable
Open wound of other parts of abdomen, lower back and pelvis
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S31.80
Billable
Open wound of unspecified buttock
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S31.801
Billable
Laceration without foreign body of unspecified buttock
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S31.802
Billable
Laceration with foreign body of unspecified buttock
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S31.803
Billable
Puncture wound without foreign body of unspecified buttock
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S31.804
Billable
Puncture wound with foreign body of unspecified buttock
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S31.805
Billable
Open bite of unspecified buttock
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S31.809
Billable
Unspecified open wound of unspecified buttock
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S31.81
Billable
Open wound of right buttock
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S31.811
Billable
Laceration without foreign body of right buttock
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S31.812
Billable
Laceration with foreign body of right buttock
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S31.813
Billable
Puncture wound without foreign body of right buttock
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S31.814
Billable
Puncture wound with foreign body of right buttock
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S31.815
Billable
Open bite of right buttock
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S31.819
Billable
Unspecified open wound of right buttock
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S31.82
Billable
Open wound of left buttock
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S31.821
Billable
Laceration without foreign body of left buttock
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S31.822
Billable
Laceration with foreign body of left buttock
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S31.823
Billable
Puncture wound without foreign body of left buttock
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S31.824
Billable
Puncture wound with foreign body of left buttock
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S31.825
Billable
Open bite of left buttock
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S31.829
Billable
Unspecified open wound of left buttock
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S31.83
Billable
Open wound of anus
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S31.831
Billable
Laceration without foreign body of anus
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S31.832
Billable
Laceration with foreign body of anus
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S31.833
Billable
Puncture wound without foreign body of anus
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S31.834
Billable
Puncture wound with foreign body of anus
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S31.835
Billable
Open bite of anus
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S31.839
Billable
Unspecified open wound of anus
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S32
Fracture of lumbar spine and pelvis
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S32.0
Billable
Fracture of lumbar vertebra
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S32.00
Billable
Fracture of unspecified lumbar vertebra
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S32.000
Billable
Wedge compression fracture of unspecified lumbar vertebra
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S32.001
Billable
Stable burst fracture of unspecified lumbar vertebra
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S32.002
Billable
Unstable burst fracture of unspecified lumbar vertebra
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S32.008
Billable
Other fracture of unspecified lumbar vertebra
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S32.009
Billable
Unspecified fracture of unspecified lumbar vertebra
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S32.01
Billable
Fracture of first lumbar vertebra
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S32.010
Billable
Wedge compression fracture of first lumbar vertebra
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S32.011
Billable
Stable burst fracture of first lumbar vertebra
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S32.012
Billable
Unstable burst fracture of first lumbar vertebra
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S32.018
Billable
Other fracture of first lumbar vertebra
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Updates & Changes

FY 2026 Updates

Current Year

New Codes (1)

S06.2X9A
Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter

Revised Codes (1)

S06.0X0A
Concussion without loss of consciousness - updated post-concussion syndrome correlation

Deleted Codes

No codes deleted in this range for FY 2026

Historical Changes

  • •FY 2025: Routine maintenance updates with minor terminology clarifications
  • •FY 2024: Enhanced specificity requirements for certain code ranges
  • •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • •Proposed updates pending review by Coordination and Maintenance Committee
  • •Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • •Review all FY 2026 updates for S30-S39 codes before implementation
  • •Always verify the most current codes in the ICD-10-CM manual
  • •Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The ICD-10 code range S30-S39 pertains to injuries to the abdomen, lower back, lumbar spine, pelvis, and external genitals. It includes a variety of injuries such as superficial injuries, open wounds, burns, fractures, dislocations, and internal injuries. The codes in this range are used to document the type, location, and severity of the injury, as well as any associated complications.

Key Usage Points:

  • •Always code for the most specific injury type and location.
  • •Use additional codes to document any associated complications or conditions.
  • •Remember to code for laterality when applicable.
  • •Use 7th character extensions to indicate the encounter type and healing status.
  • •Always follow ICD-10 coding guidelines for injuries.

Coding Guidelines

When to Use:

  • ✓When documenting an injury to the abdomen, lower back, lumbar spine, pelvis, or external genitals.
  • ✓When documenting a superficial injury, open wound, burn, fracture, dislocation, or internal injury.
  • ✓When documenting the severity and healing status of an injury.
  • ✓When documenting any associated complications or conditions.

When NOT to Use:

  • ✗When the injury is not located in the abdomen, lower back, lumbar spine, pelvis, or external genitals.
  • ✗When the injury is not a superficial injury, open wound, burn, fracture, dislocation, or internal injury.
  • ✗When the injury is not the primary reason for the encounter.
  • ✗When the injury has completely healed and is no longer being treated.

Code Exclusions

Always verify exclusions by checking the ICD-10 guidelines and the specific code descriptions.

Documentation Requirements

Documentation for injuries should be comprehensive and include the type, location, severity, and healing status of the injury, as well as any associated complications or conditions. The documentation should also include the patient's medical history, physical examination findings, diagnostic test results, and treatment plan.

Clinical Information:

  • •Type of injury
  • •Location of injury
  • •Severity of injury
  • •Healing status of injury
  • •Associated complications or conditions

Supporting Evidence:

  • •Medical history
  • •Physical examination findings
  • •Diagnostic test results
  • •Treatment plan
Good Documentation Example:

Patient presents with a severe burn to the lower abdomen, with blistering and tissue necrosis. The burn was caused by a hot liquid spill. The patient is in severe pain and has a fever. Treatment includes wound care, pain management, and antibiotics.

Poor Documentation Example:

Patient has a burn.

Common Documentation Errors:

  • âš Not documenting the specific type and location of the injury.
  • âš Not documenting the severity and healing status of the injury.
  • âš Not documenting any associated complications or conditions.
  • âš Not providing supporting evidence such as medical history, physical examination findings, diagnostic test results, and treatment plan.

Range Statistics

9
Total Codes
198
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:19

Coding Complexity

Medium
Complexity Rating

The coding complexity for this range is rated as medium due to the need to accurately code for the specific type, location, severity, and healing status of the injury, as well as any associated complications or conditions. The use of 7th character extensions and adherence to ICD-10 coding guidelines for injuries also add to the complexity.

Key Factors:
  • â–¸The need to code for the specific type and location of the injury.
  • â–¸The need to code for the severity and healing status of the injury.
  • â–¸The need to code for any associated complications or conditions.
  • â–¸The need to use 7th character extensions.
  • â–¸The need to follow ICD-10 coding guidelines for injuries.

Specialty Focus

The codes in this range are commonly used in emergency medicine, general surgery, orthopedics, and urology. They are used to document injuries to the abdomen, lower back, lumbar spine, pelvis, and external genitals.

Primary Specialties:
Emergency Medicine
40%
General Surgery
30%
Orthopedics
20%
Urology
10%
Clinical Scenarios:
  • • A patient presents to the emergency department with a stab wound to the lower abdomen.
  • • A patient is admitted for surgical repair of a pelvic fracture.
  • • A patient is seen in the orthopedic clinic for follow-up of a lumbar spine compression fracture.
  • • A patient is seen in the urology clinic for treatment of a laceration to the penis.

Resources & References

Resources for this code range include the ICD-10-CM Official Guidelines for Coding and Reporting, the American Health Information Management Association (AHIMA) coding resources, and the American Academy of Professional Coders (AAPC) coding resources.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • AHIMA coding resources
  • AAPC coding resources

Clinical References:

  • American College of Surgeons trauma resources
  • American Academy of Orthopaedic Surgeons resources

Educational Materials:

  • AHIMA ICD-10 training materials
  • AAPC ICD-10 training materials

Frequently Asked Questions

When should I use a 7th character extension?

A 7th character extension should be used for all codes within the S30-S39 range to indicate the encounter type and healing status of the injury.