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ICD-10 Guide
ICD-10 CodesS31.114

S31.114

Billable

Laceration without foreign body of abdominal wall, left lower quadrant without penetration into peritoneal cavity

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S31.114 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, left lower quadrant without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.114 refers to a laceration of the abdominal wall specifically located in the left lower quadrant, which does not involve any foreign body and does not penetrate the peritoneal cavity. This type of injury is often the result of blunt or penetrating trauma, such as falls, motor vehicle accidents, or sports injuries. Clinically, it is important to assess the depth and extent of the laceration, as well as any associated injuries to the underlying structures, including the intestines, blood vessels, and nerves. The absence of penetration into the peritoneal cavity indicates that the injury is likely less severe than those that involve internal organs, but careful evaluation is still necessary to rule out complications such as hemorrhage or infection. Treatment typically involves wound care, possible suturing, and monitoring for signs of infection or other complications. Accurate coding of this condition is crucial for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between lacerations and other types of abdominal injuries.
  • Determining the exact location of the laceration.
  • Assessing the depth of the laceration and its clinical significance.
  • Understanding the implications of 'without foreign body' and 'without penetration'.

Audit Risk Factors

  • Inadequate documentation of the injury's specifics.
  • Failure to note associated injuries.
  • Misclassification of the type of laceration.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the mechanism of injury, assessment findings, and treatment provided.

Common Clinical Scenarios

Patients presenting with abdominal trauma from falls or accidents.

Billing Considerations

Ensure that all relevant imaging and lab results are documented to rule out internal injuries.

General Surgery

Documentation Requirements

Operative reports detailing the extent of the laceration and any surgical interventions performed.

Common Clinical Scenarios

Surgical repair of abdominal wall lacerations.

Billing Considerations

Document any findings during surgery that may affect coding, such as unexpected complications.

Coding Guidelines

Inclusion Criteria

Use S31.114 When
  • According to ICD
  • 10 coding guidelines, S31
  • 114 should be used when the laceration is confirmed to be in the left lower quadrant, without foreign body involvement and without penetration into the peritoneal cavity
  • Coders must ensure that documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S31.114 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the laceration in the left lower quadrant.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Emergency medicine providers should ensure that all aspects of the injury are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes. S31.114 provides a clear distinction for lacerations without foreign bodies and without penetration, which aids in clinical decision-making and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes. S31.114 provides a clear distinction for lacerations without foreign bodies and without penetration, which aids in clinical decision-making and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. S31.114 provides a clear distinction for lacerations without foreign bodies and without penetration, which aids in clinical decision-making and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of 'without foreign body' in S31.114?

The term 'without foreign body' indicates that the laceration does not involve any external objects lodged in the wound, which can affect treatment and potential complications.