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v1.0.0
ICD-10 Guide
ICD-10 CodesS31.652

S31.652

Billable

Open bite of abdominal wall, epigastric region with penetration into peritoneal cavity

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

Code Description

ICD-10 S31.652 is a billable code used to indicate a diagnosis of open bite of abdominal wall, epigastric region with penetration into peritoneal cavity.

Key Diagnostic Point:

An open bite of the abdominal wall in the epigastric region with penetration into the peritoneal cavity is a traumatic injury characterized by a laceration or puncture wound that breaches the abdominal wall and extends into the peritoneal cavity. This type of injury often results from animal bites, sharp objects, or other penetrating trauma. Clinically, it presents with abdominal pain, potential signs of peritonitis, and may lead to complications such as infection, hemorrhage, or organ damage. Immediate evaluation and management are critical, often requiring surgical intervention to repair the abdominal wall and address any internal injuries. The epigastric region, located between the costal margins and above the umbilicus, is particularly vulnerable due to the presence of vital organs such as the stomach, liver, and pancreas. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of the mechanism of injury.
  • Involves understanding of anatomical terminology and regions.
  • May necessitate additional codes for associated injuries or complications.
  • Requires knowledge of surgical interventions and their coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to document associated injuries.
  • Incorrect coding of surgical procedures performed.
  • Lack of clarity in the description of the injury site.

Specialty Focus

Medical Specialties

Trauma Surgery

Documentation Requirements

Detailed operative notes and imaging studies.

Common Clinical Scenarios

Management of penetrating abdominal injuries from trauma.

Billing Considerations

Ensure all findings during surgery are documented to support coding.

Emergency Medicine

Documentation Requirements

Thorough initial assessment and treatment notes.

Common Clinical Scenarios

Initial evaluation of trauma patients with abdominal injuries.

Billing Considerations

Document vital signs and any interventions performed in the ED.

Coding Guidelines

Inclusion Criteria

Use S31.652 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring specificity in documentation
  • Include any additional codes for associated injuries or complications as necessary

Exclusion Criteria

Do NOT use S31.652 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49002CPT Code

Exploratory laparotomy, peritoneal cavity.

Clinical Scenario

Used when surgical intervention is required for penetrating abdominal injuries.

Documentation Requirements

Operative report detailing findings and procedures performed.

Specialty Considerations

Trauma surgeons must document all findings and interventions thoroughly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding traumatic injuries, including open bites, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding traumatic injuries, including open bites, which enhances the accuracy of patient records 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 is the significance of coding S31.652 accurately?

Accurate coding of S31.652 is crucial for appropriate treatment planning, reimbursement, and tracking of trauma-related injuries. It ensures that healthcare providers are compensated for the complexity of care required for such injuries.