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ICD-10 Guide
ICD-10 CodesS31.32

S31.32

Billable

Laceration with foreign body of scrotum and testes

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

Code Description

ICD-10 S31.32 is a billable code used to indicate a diagnosis of laceration with foreign body of scrotum and testes.

Key Diagnostic Point:

S31.32 refers to a laceration of the scrotum and testes that is complicated by the presence of a foreign body. This condition typically arises from traumatic injuries, which may occur due to accidents, falls, or penetrating injuries. The presence of a foreign body can complicate the injury, leading to increased risk of infection, delayed healing, and potential damage to the testes or surrounding structures. Clinical management often requires thorough evaluation, including imaging studies to assess the extent of the injury and the location of the foreign body. Surgical intervention may be necessary to remove the foreign body, repair the laceration, and prevent complications such as hematoma or necrosis of the testicular tissue. Proper documentation of the mechanism of injury, the type of foreign body, and the surgical procedures performed is crucial for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Need for detailed documentation of the mechanism of injury
  • Potential for surgical intervention increases coding complexity
  • Variability in clinical presentation and treatment options

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed surgical notes, imaging results, and follow-up care plans.

Common Clinical Scenarios

Traumatic injuries from sports, accidents, or assaults leading to scrotal lacerations.

Billing Considerations

Ensure documentation specifies the type of foreign body and any associated injuries.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, including vital signs, mechanism of injury, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute scrotal pain and visible lacerations after trauma.

Billing Considerations

Document all interventions performed in the emergency setting, including imaging and consultations.

Coding Guidelines

Inclusion Criteria

Use S31.32 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the presence of a foreign body
  • Include any relevant external cause codes to provide context for the injury

Exclusion Criteria

Do NOT use S31.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54000CPT Code

Incision and drainage of abscess, scrotum

Clinical Scenario

Used when an abscess develops post-laceration.

Documentation Requirements

Document the size, location, and nature of the abscess.

Specialty Considerations

Urologists should ensure that all surgical interventions are documented thoroughly.

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, which enhances 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 those with foreign bodies, which enhances 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 documentation is needed for S31.32?

Documentation should include the mechanism of injury, details about the foreign body, any surgical interventions performed, and follow-up care plans.