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ICD-10 Guide
ICD-10 CodesS31.33

S31.33

Billable

Puncture wound without foreign body of scrotum and testes

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

Code Description

ICD-10 S31.33 is a billable code used to indicate a diagnosis of puncture wound without foreign body of scrotum and testes.

Key Diagnostic Point:

A puncture wound of the scrotum and testes is a type of injury characterized by a sharp object penetrating the skin and underlying tissues without the presence of a foreign body. This injury can occur due to various mechanisms, including trauma from sharp objects, animal bites, or accidents. Clinically, it may present with localized pain, swelling, and potential bleeding. The absence of a foreign body is crucial for this code, as the presence of a foreign object would necessitate a different coding approach. Management typically involves thorough cleaning of the wound, assessment for any associated injuries, and possibly surgical intervention if there is significant damage to the underlying structures. In cases of severe injury, emergency surgical intervention may be required to repair any damage to the testes or surrounding structures, and to prevent complications such as infection or necrosis. Prompt and accurate diagnosis is essential to ensure appropriate treatment and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between puncture wounds and lacerations
  • Determining the presence or absence of foreign bodies
  • Assessing associated injuries to the genitourinary system
  • Understanding the need for potential surgical interventions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the absence of foreign bodies
  • Misclassification of the type of wound
  • Lack of detail regarding associated injuries

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on the nature of the injury, any surgical interventions performed, and follow-up care.

Common Clinical Scenarios

Management of traumatic injuries to the scrotum and testes, including surgical repair.

Billing Considerations

Ensure clear documentation of the absence of foreign bodies and any associated injuries to the genitourinary tract.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including vital signs, mechanism of injury, and any immediate interventions.

Common Clinical Scenarios

Initial evaluation and management of trauma patients presenting with scrotal injuries.

Billing Considerations

Accurate documentation of the injury type and any immediate surgical interventions is critical for coding.

Coding Guidelines

Inclusion Criteria

Use S31.33 When
  • According to ICD
  • 10 guidelines, S31
  • 33 should be used when documenting a puncture wound of the scrotum and testes without foreign body
  • It is important to ensure that the documentation supports the diagnosis and that any associated injuries are coded appropriately

Exclusion Criteria

Do NOT use S31.33 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54000CPT Code

Drainage of abscess, scrotum

Clinical Scenario

Used when there is an associated abscess requiring drainage.

Documentation Requirements

Document the size and location of the abscess, as well as the procedure performed.

Specialty Considerations

Urology specialists should ensure that the procedure is clearly linked to the diagnosis.

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. S31.33 provides a clear distinction between wounds with and without foreign bodies, 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. S31.33 provides a clear distinction between wounds with and without foreign bodies, 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 difference between S31.33 and S31.32?

S31.33 is used for puncture wounds without foreign bodies, while S31.32 is for puncture wounds with foreign bodies. Accurate documentation of the presence or absence of foreign bodies is essential for correct coding.