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ICD-10 Guide
ICD-10 CodesS31.52

S31.52

Billable

Laceration with foreign body of unspecified external genital organs

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

Code Description

ICD-10 S31.52 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified external genital organs.

Key Diagnostic Point:

S31.52 refers to a laceration involving the external genital organs where a foreign body is present. This condition typically arises from traumatic incidents such as accidents, assaults, or surgical complications. The external genital organs include structures such as the penis, scrotum, vulva, and perineum. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or additional surgical interventions. Clinical management often involves thorough cleaning of the wound, removal of the foreign body, and possibly surgical repair of the laceration. The complexity of treatment can vary based on the size and location of the laceration, the type of foreign body, and the patient's overall health status. Emergency care is critical, as timely intervention can prevent complications such as hemorrhage or infection. Documentation must detail the nature of the injury, the foreign body involved, and the treatment provided to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Variety of potential foreign bodies (e.g., glass, metal, organic material)
  • Need for detailed documentation of the injury and treatment
  • Variability in surgical interventions based on injury severity

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document the mechanism of injury
  • Lack of clarity on the extent of the laceration
  • Improper coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the mechanism of injury, foreign body characteristics, and immediate treatment provided.

Common Clinical Scenarios

Trauma cases involving accidents, assaults, or sports injuries leading to lacerations with foreign bodies.

Billing Considerations

Ensure all details of the injury and treatment are documented to support coding and billing.

Urology

Documentation Requirements

Comprehensive documentation of the laceration's location, size, and any surgical interventions performed.

Common Clinical Scenarios

Cases involving lacerations during urological procedures or trauma affecting the external genitalia.

Billing Considerations

Consideration of potential complications such as urinary tract injury or infection.

Coding Guidelines

Inclusion Criteria

Use S31.52 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, foreign body presence, and treatment provided
  • Include any associated injuries or complications in coding

Exclusion Criteria

Do NOT use S31.52 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 lacerations with foreign bodies after removal.

Documentation Requirements

Document the size of the laceration and the foreign body removal.

Specialty Considerations

Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of the repair.

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, improving the accuracy of data collection 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, improving the accuracy of data collection 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 importance of documenting the type of foreign body?

Documenting the type of foreign body is crucial for accurate coding, as it impacts the complexity of the injury and the treatment required. It also helps in justifying the medical necessity of the procedures performed.