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ICD-10 Guide
ICD-10 CodesS31.01

S31.01

Billable

Laceration without foreign body of lower back and pelvis

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

Code Description

ICD-10 S31.01 is a billable code used to indicate a diagnosis of laceration without foreign body of lower back and pelvis.

Key Diagnostic Point:

S31.01 refers to a laceration of the lower back and pelvis that does not involve any foreign body. This type of injury can occur due to various traumatic events such as falls, motor vehicle accidents, or blunt force trauma. Clinically, lacerations in this region can lead to significant pain, potential damage to underlying structures, and complications such as infection or hemorrhage. The lower back and pelvis are critical areas that house vital organs and structures, including parts of the genitourinary system and the lumbar spine. Emergency surgical interventions may be necessary to repair deep lacerations, control bleeding, or address any associated injuries to the spine or pelvic organs. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement, as well as for tracking injury patterns in trauma registries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between superficial and deep lacerations
  • Identifying associated injuries to the lumbar spine or pelvic organs
  • Documenting the mechanism of injury accurately
  • Understanding the implications of potential surgical interventions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the depth of the laceration
  • Omission of associated injuries or complications
  • Incorrect coding of related procedures

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 trauma from falls or accidents with lacerations to the lower back.

Billing Considerations

Ensure that all associated injuries are documented to support comprehensive coding.

Orthopedic Surgery

Documentation Requirements

Surgical notes detailing the repair of lacerations and any associated spinal or pelvic injuries.

Common Clinical Scenarios

Surgical intervention for deep lacerations involving the lumbar spine or pelvic region.

Billing Considerations

Document the extent of the laceration and any reconstruction performed.

Coding Guidelines

Inclusion Criteria

Use S31.01 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including depth and associated injuries

Exclusion Criteria

Do NOT use S31.01 When
  • Exclude codes for lacerations with foreign bodies or those that are not specific to the lower back and pelvis

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of laceration, face, ears, eyelids, scalp; 2.5 cm or less

Clinical Scenario

Used for simple laceration repairs in the lower back.

Documentation Requirements

Document the size and location of the laceration.

Specialty Considerations

Ensure that the procedure is appropriately 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 lacerations, improving the accuracy of data collection and reimbursement processes. S31.01 provides a clear distinction for lacerations without foreign bodies, enhancing clinical clarity.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes. S31.01 provides a clear distinction for lacerations without foreign bodies, enhancing clinical clarity.

Reimbursement & Billing Impact

reimbursement processes. S31.01 provides a clear distinction for lacerations without foreign bodies, enhancing clinical clarity.

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 difference between S31.01 and S31.02?

S31.01 is used for lacerations without foreign bodies, while S31.02 is for lacerations that involve foreign bodies. Accurate documentation is essential to determine the correct code.