ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS31.152

S31.152

Billable

Open bite of abdominal wall, epigastric region without penetration into peritoneal cavity

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

Code Description

ICD-10 S31.152 is a billable code used to indicate a diagnosis of open bite of abdominal wall, epigastric region without penetration into peritoneal cavity.

Key Diagnostic Point:

An open bite of the abdominal wall in the epigastric region refers to a laceration or puncture wound that does not extend into the peritoneal cavity. This type of injury can occur due to various mechanisms, including animal bites, human bites, or sharp object injuries. Clinically, patients may present with localized pain, swelling, and potential signs of infection. The epigastric region is anatomically located between the costal margins and above the umbilicus, making it a critical area for assessing potential damage to underlying organs such as the stomach, liver, and pancreas. Although this injury does not penetrate the peritoneal cavity, it requires careful evaluation to rule out associated injuries to the abdominal organs and to determine the need for surgical intervention. Treatment may involve wound care, possible debridement, and monitoring for complications such as infection or abscess formation. Emergency surgical interventions may be necessary if there are signs of deeper tissue involvement or if the wound is extensive.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between open and closed injuries
  • Assessing the extent of tissue damage
  • Determining the need for surgical intervention
  • Documenting associated injuries or complications

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to document associated injuries
  • Misclassification of the injury type (open vs. closed)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with bite wounds, trauma from sharp objects, or accidental injuries.

Billing Considerations

Ensure accurate documentation of the injury's depth and any signs of infection.

General Surgery

Documentation Requirements

Operative reports detailing the extent of the injury and any surgical interventions performed.

Common Clinical Scenarios

Surgical evaluation of abdominal wall injuries requiring repair or debridement.

Billing Considerations

Document any findings related to underlying organ involvement during surgery.

Coding Guidelines

Inclusion Criteria

Use S31.152 When
  • According to ICD
  • 10 guidelines, S31
  • 152 should be used when documenting an open bite of the abdominal wall in the epigastric region without peritoneal penetration
  • Coders must ensure that the documentation supports the diagnosis and reflects the nature of the injury accurately

Exclusion Criteria

Do NOT use S31.152 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 an open bite wound in the epigastric region.

Documentation Requirements

Document the size and depth of the wound, as well as the repair technique used.

Specialty Considerations

Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of the repair.

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 aids in better tracking of injury types and outcomes, improving 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 aids in better tracking of injury types and outcomes, improving 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 aids in better tracking of injury types and outcomes, improving 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 an open bite and a closed bite?

An open bite involves a break in the skin, exposing underlying tissues, while a closed bite does not break the skin and may involve bruising or swelling without visible wounds.