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ICD-10 Guide
ICD-10 CodesS31.622

S31.622

Billable

Laceration with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity

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

Code Description

ICD-10 S31.622 is a billable code used to indicate a diagnosis of laceration with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity.

Key Diagnostic Point:

S31.622 describes a specific type of abdominal trauma characterized by a laceration in the epigastric region of the abdominal wall that has been complicated by the presence of a foreign body, which has penetrated into the peritoneal cavity. This condition often arises from penetrating injuries such as stab wounds, gunshot wounds, or accidents involving sharp objects. The epigastric region, located between the costal margins and above the umbilicus, is particularly vulnerable due to its anatomical position and the presence of vital organs such as the stomach, liver, and pancreas. The penetration into the peritoneal cavity poses significant risks, including peritonitis, hemorrhage, and organ damage, necessitating immediate surgical intervention. Emergency surgical procedures may include exploratory laparotomy to assess and repair any internal injuries, removal of the foreign body, and management of any resultant complications. Accurate coding of this condition is crucial for appropriate treatment planning, resource allocation, and reimbursement processes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise identification of the injury location and type.
  • Involves understanding of the implications of foreign body presence.
  • Need for detailed documentation of surgical interventions.
  • Potential for multiple associated injuries requiring comprehensive coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the type of foreign body.
  • Lack of clarity on the extent of peritoneal cavity involvement.
  • Inconsistent coding of associated injuries.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, assessment findings, and treatment provided.

Common Clinical Scenarios

Patients presenting with stab wounds or accidental lacerations to the abdomen.

Billing Considerations

Timely documentation is critical due to the acute nature of the injuries.

General Surgery

Documentation Requirements

Operative reports detailing the surgical approach, findings, and interventions performed.

Common Clinical Scenarios

Exploratory laparotomy for trauma patients with suspected intra-abdominal injuries.

Billing Considerations

Accurate coding of any additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S31.622 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's nature, location, and any associated complications
  • Include details on the foreign body and its implications for treatment

Exclusion Criteria

Do NOT use S31.622 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49000CPT Code

Exploratory laparotomy, peritoneal cavity

Clinical Scenario

Used when surgical intervention is required for penetrating abdominal injuries.

Documentation Requirements

Operative report detailing findings and interventions.

Specialty Considerations

General surgeons must document the extent of the injury and any repairs performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complex injuries such as S31.622, improving the accuracy of medical records and facilitating better patient care through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complex injuries such as S31.622, improving the accuracy of medical records and facilitating better patient care through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complex injuries such as S31.622, improving the accuracy of medical records and facilitating better patient care through detailed documentation.

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 significance of coding S31.622 accurately?

Accurate coding of S31.622 is crucial for ensuring appropriate treatment, resource allocation, and reimbursement. It reflects the complexity of the injury and the necessary interventions, impacting patient care and hospital revenue.