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ICD-10 Guide
ICD-10 CodesS31.124

S31.124

Billable

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

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

Code Description

ICD-10 S31.124 is a billable code used to indicate a diagnosis of laceration of abdominal wall with foreign body, left lower quadrant without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.124 refers to a specific type of abdominal wall injury characterized by a laceration in the left 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 essential to assess the extent of the laceration, the nature of the foreign body, and any associated injuries to the underlying structures, including the bowel or vascular systems. The absence of peritoneal penetration is a critical factor, as it influences the management and potential surgical interventions required. Treatment typically involves careful removal of the foreign body, thorough cleaning of the wound, and possibly suturing the laceration, depending on its size and depth. Monitoring for signs of infection or complications is also crucial in the post-operative phase.

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 for treatment.
  • Assessment of associated injuries to adjacent organs.

Audit Risk Factors

  • Inadequate documentation of the foreign body type.
  • Failure to specify the depth of the laceration.
  • Lack of clarity on whether the peritoneal cavity is involved.
  • Inconsistent coding of associated injuries.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed notes on the mechanism of injury, foreign body characteristics, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma from accidents, falls, or assaults with visible abdominal injuries.

Billing Considerations

Timely assessment and documentation are crucial for appropriate coding and billing.

General Surgery

Documentation Requirements

Operative reports detailing the surgical approach, foreign body removal, and any repairs made to the abdominal wall.

Common Clinical Scenarios

Surgical intervention for lacerations requiring exploration or repair, especially in cases with foreign bodies.

Billing Considerations

Clear documentation of the surgical findings and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use S31.124 When
  • According to ICD
  • 10 guidelines, S31
  • 124 should be used when the laceration is confirmed in the left lower quadrant, with documentation indicating the presence of a foreign body and no penetration into the peritoneal cavity
  • Coders must ensure that all relevant details are captured to support the diagnosis

Exclusion Criteria

Do NOT use S31.124 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for the repair of the laceration after foreign body removal.

Documentation Requirements

Document the size of the laceration and the method of repair.

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 abdominal injuries, improving the accuracy of claims 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 abdominal injuries, improving the accuracy of claims and facilitating better patient care through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abdominal injuries, improving the accuracy of claims 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 the foreign body in S31.124?

The presence of a foreign body complicates the laceration and requires specific documentation and management to prevent infection and ensure proper healing.