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ICD-10 Guide
ICD-10 CodesS31.135

S31.135

Billable

Puncture wound of abdominal wall without foreign body, periumbilic region without penetration into peritoneal cavity

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

Code Description

ICD-10 S31.135 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall without foreign body, periumbilic region without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.135 refers to a puncture wound located in the periumbilical region 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 or sharp objects that create a wound without deep tissue damage. Clinically, it is important to assess the wound for signs of infection, bleeding, or other complications. The absence of a foreign body simplifies the management of the wound, as there is no need for foreign body removal. However, careful monitoring is essential to ensure that there is no delayed presentation of complications such as peritonitis or abscess formation. Treatment typically involves wound care, possible suturing, and monitoring for any signs of internal injury, especially in cases where the mechanism of injury suggests a higher risk of deeper damage. Emergency surgical intervention may be required if there are signs of peritoneal involvement or if the patient exhibits symptoms of internal bleeding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between superficial and deep puncture wounds
  • Assessing for potential internal injuries despite the absence of penetration
  • Documenting the mechanism of injury accurately
  • Understanding the implications of foreign body presence or absence

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to note the absence of foreign bodies
  • Misclassification of the wound depth
  • Lack of follow-up documentation for wound healing

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with stab wounds, accidental punctures, or injuries from falls.

Billing Considerations

Ensure that all assessments for internal injuries are documented, especially in cases of high-risk mechanisms.

General Surgery

Documentation Requirements

Comprehensive surgical notes detailing the procedure, findings, and post-operative care.

Common Clinical Scenarios

Surgical intervention for abdominal wall injuries, including repair of puncture wounds.

Billing Considerations

Document any findings that may indicate deeper injury or complications that arise during surgery.

Coding Guidelines

Inclusion Criteria

Use S31.135 When
  • According to ICD
  • 10 coding guidelines, S31
  • 135 should be used when the documentation clearly indicates a puncture wound in the specified region without foreign body involvement and without peritoneal penetration
  • Coders must ensure that the clinical documentation supports the diagnosis and that any additional injuries are coded appropriately

Exclusion Criteria

Do NOT use S31.135 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 in the periumbilical region.

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 S31.135.

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. S31.135 provides a clear distinction from other types of abdominal injuries, improving the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. S31.135 provides a clear distinction from other types of abdominal injuries, improving the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 S31.135 accurately?

Accurate coding of S31.135 is crucial for proper reimbursement, tracking of injury patterns, and ensuring appropriate patient care. It helps in identifying trends in abdominal injuries and can influence preventive measures in clinical practice.