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ICD-10 Guide
ICD-10 CodesS31.125

S31.125

Billable

Laceration of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity

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

Code Description

ICD-10 S31.125 is a billable code used to indicate a diagnosis of laceration of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity.

Key Diagnostic Point:

S31.125 refers to a laceration of the abdominal wall specifically located in the periumbilical region, where a foreign body is present but does not penetrate the peritoneal cavity. This type of injury is often the result of blunt or penetrating trauma, such as accidents involving sharp objects or falls. Clinically, it is important to assess the extent of the laceration, the presence of any foreign bodies, and to rule out deeper injuries that may involve internal organs. The management of such injuries typically involves thorough cleaning of the wound, possible removal of the foreign body, and suturing of the laceration. The absence of penetration into the peritoneal cavity is a critical factor, as it significantly reduces the risk of complications such as peritonitis or internal bleeding. Proper documentation of the injury's characteristics, including the size and depth of the laceration, as well as the type of foreign body involved, is essential for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the laceration's size and depth
  • Identification and description of the foreign body
  • Differentiation from similar codes involving deeper abdominal injuries
  • Assessment of potential complications or associated injuries

Audit Risk Factors

  • Inadequate documentation of the foreign body
  • Failure to specify the location and extent of the laceration
  • Misclassification of the injury type (e.g., coding as a deeper injury)
  • Lack of clarity on whether the peritoneal cavity is involved

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 abdominal trauma from accidents, falls, or assaults.

Billing Considerations

Ensure that all findings related to the foreign body and laceration are clearly documented to support coding.

General Surgery

Documentation Requirements

Operative reports must detail the surgical intervention, including any foreign body removal and repair techniques used.

Common Clinical Scenarios

Surgical intervention for lacerations requiring repair or foreign body extraction.

Billing Considerations

Documentation should include the condition of the abdominal wall and any associated injuries.

Coding Guidelines

Inclusion Criteria

Use S31.125 When
  • According to ICD
  • 10 coding guidelines, S31
  • 125 should be used when the laceration is confirmed to be in the periumbilical region with a foreign body present, and there is no evidence of penetration into the peritoneal cavity
  • Coders must ensure that documentation supports the diagnosis and that all relevant details are captured

Exclusion Criteria

Do NOT use S31.125 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when performing a simple repair of the laceration in the periumbilical region.

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 injuries, including those involving foreign bodies. This specificity aids in better tracking of injury types and outcomes, which can improve patient care and resource allocation.

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 injury types and outcomes, which can improve patient care and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid denials.

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 S31.125?

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