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ICD-10 Guide
ICD-10 CodesS31.44

S31.44

Billable

Puncture wound with foreign body of vagina and vulva

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

Code Description

ICD-10 S31.44 is a billable code used to indicate a diagnosis of puncture wound with foreign body of vagina and vulva.

Key Diagnostic Point:

A puncture wound with a foreign body of the vagina and vulva is a specific type of injury that occurs when an object penetrates the vaginal or vulvar tissues, potentially leading to complications such as infection, bleeding, or damage to underlying structures. This type of injury can result from various incidents, including sexual assault, accidents, or insertion of foreign objects. Clinically, it is essential to assess the extent of the injury, the nature of the foreign body, and any associated trauma to the pelvic region. Emergency management may include wound cleaning, removal of the foreign body, and possibly surgical intervention if there is significant damage or risk of infection. Proper documentation of the injury's mechanism, the foreign body involved, and any treatment provided is crucial for accurate coding and billing. The management of such injuries often requires a multidisciplinary approach, involving emergency medicine, gynecology, and sometimes urology, depending on the extent of the injury and the presence of associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential foreign bodies and their implications for treatment
  • Need for detailed documentation of the injury mechanism
  • Potential for associated injuries in the pelvic region
  • Variability in clinical presentation and treatment approaches

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document the mechanism of injury
  • Lack of detail regarding associated injuries
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, foreign body characteristics, and initial management steps.

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents or assaults, requiring immediate care.

Billing Considerations

Ensure thorough documentation of any imaging or surgical interventions performed.

Gynecology

Documentation Requirements

Comprehensive assessment of the vaginal and vulvar injury, including any surgical interventions.

Common Clinical Scenarios

Management of foreign body removal and repair of vaginal or vulvar lacerations.

Billing Considerations

Document any potential complications, such as infection or damage to surrounding structures.

Coding Guidelines

Inclusion Criteria

Use S31.44 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's nature, mechanism, and any associated procedures

Exclusion Criteria

Do NOT use S31.44 When
  • Inclusion criteria involve specific details about the foreign body and the anatomical site, while exclusion criteria may involve injuries not involving a foreign body

Related ICD-10 Codes

Related CPT Codes

58100CPT Code

Vulvectomy, partial or complete

Clinical Scenario

Used when surgical intervention is required for extensive injuries.

Documentation Requirements

Document the extent of the injury and the surgical procedure performed.

Specialty Considerations

Ensure that the surgical notes detail the reason for the procedure and any complications.

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 involving foreign bodies, which enhances the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those involving foreign bodies, which enhances the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 should be documented for a puncture wound with a foreign body?

Document the mechanism of injury, type of foreign body, extent of the wound, any associated injuries, and the treatment provided.