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ICD-10 Guide
ICD-10 CodesS31.150

S31.150

Billable

Open bite of abdominal wall, right upper quadrant without penetration into peritoneal cavity

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

Code Description

ICD-10 S31.150 is a billable code used to indicate a diagnosis of open bite of abdominal wall, right upper quadrant without penetration into peritoneal cavity.

Key Diagnostic Point:

An open bite of the abdominal wall in the right upper quadrant refers to a laceration or puncture wound that does not penetrate the peritoneal cavity. This type of injury is often the result of animal bites, sharp objects, or trauma from falls or accidents. Clinically, it presents with localized pain, swelling, and potential bleeding at the site of injury. The right upper quadrant of the abdomen houses vital organs such as the liver, gallbladder, and parts of the intestines, making injuries in this area particularly concerning. Although this specific code indicates that there is no penetration into the peritoneal cavity, it is crucial to monitor for signs of infection or complications that may arise from the open wound. Treatment typically involves thorough cleaning of the wound, possible suturing, and monitoring for any signs of internal injury or infection. Emergency surgical intervention may be required if there are signs of deeper tissue damage or if the wound becomes infected.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between open and closed injuries
  • Determining the extent of tissue damage
  • Assessing for potential complications such as infection
  • Understanding the anatomical implications of the right upper quadrant

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the location of the injury accurately
  • Misclassification of the injury type (open vs. closed)
  • Lack of follow-up documentation regarding treatment and outcomes

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 animal bites, stab wounds, or trauma from falls.

Billing Considerations

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

General Surgery

Documentation Requirements

Comprehensive surgical notes detailing the procedure performed, findings, and any complications.

Common Clinical Scenarios

Surgical intervention for infected or complicated open bites.

Billing Considerations

Document any surgical repairs or interventions performed to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use S31.150 When
  • According to ICD
  • 10 guidelines, this code should be used when the injury is confirmed as an open bite without peritoneal involvement
  • Documentation must clearly indicate the nature of the injury and any treatments provided

Exclusion Criteria

Do NOT use S31.150 When
  • Exclusions include cases where there is evidence of internal organ damage

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the open bite wound in the right upper quadrant.

Documentation Requirements

Document the size of the wound 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 injuries, including open bites. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care 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 difference between S31.150 and S31.151?

S31.150 refers to an open bite of the abdominal wall without penetration into the peritoneal cavity, while S31.151 indicates that there is penetration into the peritoneal cavity, which has different implications for treatment and coding.