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v1.0.0
ICD-10 Guide
ICD-10 CodesS31.119

S31.119

Billable

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

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

Code Description

ICD-10 S31.119 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, unspecified quadrant without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.119 refers to a laceration of the abdominal wall that does not involve a foreign body and is located in an unspecified quadrant. This type of injury typically results from blunt or penetrating trauma, such as falls, motor vehicle accidents, or sports injuries. The absence of penetration into the peritoneal cavity indicates that the injury is limited to the abdominal wall and does not compromise internal organs. Clinically, these lacerations may present with pain, swelling, and possible bleeding at the site of injury. Treatment often involves wound care, suturing, and monitoring for signs of infection or complications. Emergency surgical intervention may be necessary if there are concerns about deeper tissue damage or if the laceration is extensive. Accurate coding is essential for proper management and reimbursement, as well as for tracking injury patterns and outcomes in trauma care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of injury specifics
  • Need for precise anatomical localization
  • Differentiation from similar codes for abdominal injuries
  • Potential for associated injuries requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the quadrant of the abdominal wall
  • Misclassification of laceration depth or severity
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, examination findings, and treatment provided.

Common Clinical Scenarios

Patients presenting with abdominal trauma from accidents or falls.

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support coding.

General Surgery

Documentation Requirements

Operative reports detailing the laceration repair and any additional findings.

Common Clinical Scenarios

Surgical intervention for extensive lacerations or those with complications.

Billing Considerations

Document any findings that may indicate deeper injuries or complications.

Coding Guidelines

Inclusion Criteria

Use S31.119 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when there is a clear laceration without foreign body and no penetration into the peritoneal cavity
  • Documentation must support the diagnosis and any associated injuries

Exclusion Criteria

Do NOT use S31.119 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration of the abdominal wall.

Documentation Requirements

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

Specialty Considerations

Ensure that the procedure aligns with the diagnosis for accurate billing.

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. S31.119 provides a clear distinction for lacerations without foreign bodies, enhancing clinical understanding and treatment planning.

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. S31.119 provides a clear distinction for lacerations without foreign bodies, enhancing clinical understanding and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S31.119 provides a clear distinction for lacerations without foreign bodies, enhancing clinical understanding and treatment planning.

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 specifying the quadrant for abdominal lacerations?

Specifying the quadrant helps in accurately assessing the injury's severity and potential complications, guiding treatment decisions and ensuring appropriate coding.