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ICD-10 Guide
ICD-10 CodesS31.123

S31.123

Billable

Laceration of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity

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

Code Description

ICD-10 S31.123 is a billable code used to indicate a diagnosis of laceration of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.123 refers to a specific type of abdominal wall injury characterized by a laceration in the right lower quadrant that is associated with a foreign body but does not penetrate the peritoneal cavity. This condition often arises from traumatic incidents such as falls, accidents, or penetrating injuries where an object becomes lodged in the abdominal wall. Clinically, it is crucial to assess the extent of the laceration, the nature of the foreign body, and the potential for associated injuries to internal organs. The absence of peritoneal cavity penetration is significant as it reduces the risk of peritonitis and other intra-abdominal complications. Management typically involves surgical intervention to remove the foreign body, repair the laceration, and ensure proper wound care to prevent infection. Accurate coding is essential for appropriate treatment reimbursement and tracking of trauma-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the location and nature of the laceration
  • Differentiation between superficial and deep lacerations
  • Identification of the foreign body type and its implications
  • Assessment of associated injuries in the abdominal region

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the depth of the laceration
  • Misclassification of the injury as penetrating
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with trauma from accidents, falls, or assaults with foreign bodies lodged in the abdominal wall.

Billing Considerations

Ensure that all relevant imaging studies and consultations are documented to support the diagnosis.

General Surgery

Documentation Requirements

Operative reports detailing the surgical approach, foreign body removal, and closure techniques.

Common Clinical Scenarios

Surgical intervention for lacerations involving foreign bodies, including repair of the abdominal wall.

Billing Considerations

Document any intraoperative findings that may affect coding, such as unexpected complications.

Coding Guidelines

Inclusion Criteria

Use S31.123 When
  • According to ICD
  • 10 guidelines, S31
  • 123 should be used when the laceration is confirmed in the right lower quadrant with a foreign body present, and there is no evidence of peritoneal cavity penetration
  • Coders must ensure that documentation supports the diagnosis and that all relevant details are captured

Exclusion Criteria

Do NOT use S31.123 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12002CPT Code

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

Clinical Scenario

Used when performing a simple repair of the laceration in the right lower quadrant.

Documentation Requirements

Document the size and location of the laceration, as well as the technique used.

Specialty Considerations

Ensure that the surgical specialty aligns with the procedure performed.

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. This specificity aids in better tracking of trauma cases and improves the accuracy of 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. This specificity aids in better tracking of trauma cases and improves the accuracy of 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 the foreign body in S31.123?

The foreign body complicates the injury and requires specific documentation and management to prevent infection and ensure proper healing.