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ICD-10 Guide
ICD-10 CodesS31.122

S31.122

Billable

Laceration of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity

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

Code Description

ICD-10 S31.122 is a billable code used to indicate a diagnosis of laceration of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.122 refers to a laceration of the abdominal wall located in the epigastric region, which is characterized by the presence of a foreign body. This injury does not penetrate the peritoneal cavity, indicating that while the abdominal wall is compromised, the internal organs remain intact. Such lacerations can occur due to various traumatic events, including accidents involving sharp objects or impalement injuries. The epigastric region is anatomically significant as it houses vital organs such as the stomach, liver, and pancreas. The management of this condition typically involves careful assessment to ensure that there is no internal injury, followed by appropriate wound care and potential surgical intervention to remove the foreign body and repair the laceration. The absence of peritoneal penetration is crucial, as it influences the treatment approach and the potential for complications such as infection or internal bleeding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise anatomical localization (epigastric region)
  • Differentiation from similar codes involving deeper injuries
  • Documentation of foreign body presence and type
  • Assessment of potential complications or associated injuries

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the exact location of the laceration
  • Misclassification of the injury depth
  • Omission of associated injuries or complications

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 trauma from accidents, falls, or assaults with foreign bodies lodged in the abdominal wall.

Billing Considerations

Ensure that all relevant imaging and diagnostic tests are documented to rule out internal injuries.

General Surgery

Documentation Requirements

Operative reports detailing the surgical intervention, foreign body removal, and repair of the laceration.

Common Clinical Scenarios

Surgical intervention for lacerations requiring exploration and repair, especially in cases with foreign body retention.

Billing Considerations

Accurate coding of the surgical procedure performed in conjunction with the laceration repair.

Coding Guidelines

Inclusion Criteria

Use S31.122 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the laceration is documented as not penetrating the peritoneal cavity
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S31.122 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for the repair of the laceration in the epigastric region.

Documentation Requirements

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

Specialty Considerations

Ensure that the repair is documented as simple or complex based on the depth and length.

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. S31.122 provides a clear distinction between superficial and penetrating injuries, which is critical for 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. S31.122 provides a clear distinction between superficial and penetrating injuries, which is critical for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S31.122 provides a clear distinction between superficial and penetrating injuries, which is critical for 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 the foreign body in S31.122?

The presence of a foreign body indicates a more complex injury that may require surgical intervention, and it is essential for accurate coding and treatment planning.