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ICD-10 Guide
ICD-10 CodesS31.134

S31.134

Billable

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

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

Code Description

ICD-10 S31.134 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall without foreign body, left lower quadrant without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.134 refers to a puncture wound located in the left lower quadrant of the abdominal wall that does not involve a foreign body and does not penetrate the peritoneal cavity. This type of injury is often the result of blunt trauma, sharp objects, or accidental injuries. Clinically, it is important to assess the wound for signs of infection, bleeding, or damage to underlying structures such as muscles, nerves, and blood vessels. The absence of penetration into the peritoneal cavity is significant as it reduces the risk of intra-abdominal complications, such as peritonitis or organ injury. Management typically involves wound care, monitoring for complications, and possibly surgical intervention if there are concerns about deeper tissue damage. Accurate coding of this injury is crucial for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between puncture wounds and lacerations
  • Assessing the depth and extent of the injury
  • Determining the presence of foreign bodies
  • Evaluating for potential complications such as infection

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Misclassification of the wound type (puncture vs. laceration)
  • Failure to document the absence of foreign bodies
  • Inconsistent coding across different encounters

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 stab wounds, accidental punctures, or sports-related injuries.

Billing Considerations

Ensure that the documentation clearly states the absence of peritoneal penetration and foreign bodies.

General Surgery

Documentation Requirements

Operative reports detailing the surgical intervention, if performed, and post-operative care.

Common Clinical Scenarios

Surgical repair of abdominal wall injuries or management of complications from puncture wounds.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S31.134 When
  • According to ICD
  • 10 coding guidelines, S31
  • 134 should be used when the documentation specifies a puncture wound in the left lower quadrant without foreign body involvement and without peritoneal penetration
  • Coders must ensure that the documentation supports the diagnosis and that all relevant details are captured

Exclusion Criteria

Do NOT use S31.134 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 puncture wound if suturing is required.

Documentation Requirements

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

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of S31.134.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity aids in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity aids in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 coding S31.134 accurately?

Accurate coding of S31.134 is crucial for proper treatment planning, reimbursement, and tracking of injury outcomes. It ensures that healthcare providers are compensated for the care provided and helps in the analysis of injury patterns.