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ICD-10 Guide
ICD-10 CodesS31.34

S31.34

Billable

Puncture wound with foreign body of scrotum and testes

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

Code Description

ICD-10 S31.34 is a billable code used to indicate a diagnosis of puncture wound with foreign body of scrotum and testes.

Key Diagnostic Point:

A puncture wound with a foreign body of the scrotum and testes refers to an injury where a sharp object penetrates the skin of the scrotum and potentially the testes, introducing a foreign material into the tissue. This type of injury can occur due to various incidents, including accidents, assaults, or surgical complications. Clinically, it may present with symptoms such as pain, swelling, and possible bleeding in the scrotal area. The presence of a foreign body can lead to infection, inflammation, or necrosis if not addressed promptly. Emergency evaluation typically includes a physical examination and imaging studies to assess the extent of the injury and the presence of foreign materials. Surgical intervention may be necessary to remove the foreign body, repair any damage, and prevent complications. Proper coding is essential for accurate medical billing and to ensure appropriate treatment is documented.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the foreign body type and location
  • Differentiation from other types of scrotal injuries
  • Potential for associated injuries requiring additional codes
  • Variability in treatment approaches based on the severity of the injury

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document associated injuries
  • Incorrect linkage of procedure codes to the diagnosis
  • Lack of clarity in the clinical narrative

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed description of the injury, foreign body type, and treatment plan.

Common Clinical Scenarios

Management of traumatic scrotal injuries, foreign body removal, and infection treatment.

Billing Considerations

Ensure documentation reflects the urgency of the injury and any complications.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, including mechanism of injury and immediate interventions.

Common Clinical Scenarios

Initial evaluation and stabilization of patients with scrotal puncture wounds.

Billing Considerations

Document all vital signs and any imaging studies performed.

Coding Guidelines

Inclusion Criteria

Use S31.34 When
  • According to ICD
  • 10 coding guidelines, S31
  • 34 should be used when there is a documented puncture wound with a foreign body specifically in the scrotum and testes
  • Coders must ensure that the documentation supports the diagnosis and any associated procedures performed

Exclusion Criteria

Do NOT use S31.34 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54000CPT Code

Incision and drainage of abscess, scrotum

Clinical Scenario

Used when there is an abscess formation due to the puncture wound.

Documentation Requirements

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

Specialty Considerations

Urologists 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 those with foreign bodies. This specificity improves the accuracy of billing and enhances the ability to track and analyze injury patterns.

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 improves the accuracy of billing and enhances the ability to track and analyze injury patterns.

Reimbursement & Billing Impact

billing and enhances the ability to track and analyze injury patterns.

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 importance of documenting the foreign body type?

Documenting the foreign body type is crucial for accurate coding, as it affects treatment decisions and can influence the complexity of the case.