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ICD-10 Guide
ICD-10 CodesS31.22

S31.22

Billable

Laceration with foreign body of penis

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

Code Description

ICD-10 S31.22 is a billable code used to indicate a diagnosis of laceration with foreign body of penis.

Key Diagnostic Point:

S31.22 refers to a specific type of injury characterized by a laceration of the penis that is complicated by the presence of a foreign body. This condition often arises from traumatic incidents, including accidents or assaults, where sharp objects or debris penetrate the penile tissue. The clinical presentation may include pain, swelling, bleeding, and potential signs of infection. The presence of a foreign body can complicate the healing process and may necessitate surgical intervention to remove the object and repair the laceration. In cases of significant trauma, associated injuries to the surrounding structures, such as the urethra or other genitourinary organs, may also be present. Emergency care is critical, as timely intervention can prevent complications such as necrosis, infection, or long-term functional impairment. Proper documentation of the mechanism of injury, the nature of the foreign body, and any associated injuries is essential for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the mechanism of injury
  • Identification of the foreign body type and its location
  • Potential for associated injuries requiring additional codes
  • Variability in treatment approaches based on injury severity

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document associated injuries
  • Lack of clarity on the mechanism of injury
  • Inconsistent coding of surgical interventions

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on the nature of the laceration, foreign body characteristics, and any surgical interventions performed.

Common Clinical Scenarios

Urologists often encounter patients with traumatic injuries to the genital area, including lacerations with foreign bodies.

Billing Considerations

Urologists must ensure that all relevant anatomical details and potential complications are documented to support coding.

Emergency Medicine

Documentation Requirements

Comprehensive documentation of the injury mechanism, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Emergency physicians frequently treat trauma patients with lacerations and foreign bodies, necessitating rapid assessment and intervention.

Billing Considerations

Emergency providers should document the urgency of the situation and any life-threatening aspects of the injury.

Coding Guidelines

Inclusion Criteria

Use S31.22 When
  • According to ICD
  • 10 guidelines, S31
  • 22 should be used when there is a documented laceration of the penis with a foreign body present
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S31.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the laceration after foreign body removal.

Documentation Requirements

Document the size and depth of the laceration, as well as the foreign body removal.

Specialty Considerations

Urologists and emergency physicians should ensure that the repair method aligns with the complexity of the injury.

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 those with foreign bodies. 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 those with foreign bodies. This specificity aids in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 documentation is required for coding S31.22?

Documentation must include details of the laceration, the type of foreign body, the mechanism of injury, and any surgical interventions performed. Clear notes on associated injuries are also necessary.