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ICD-10 Guide
ICD-10 CodesS31.13

S31.13

Billable

Puncture wound of abdominal wall without foreign body without penetration into peritoneal cavity

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

Code Description

ICD-10 S31.13 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall without foreign body without penetration into peritoneal cavity.

Key Diagnostic Point:

A puncture wound of the abdominal wall is a type of injury characterized by a sharp object penetrating the skin and underlying tissues without entering the peritoneal cavity. This injury can occur due to various mechanisms, including accidents, falls, or intentional harm. Clinically, it is essential to assess the depth and extent of the wound, as well as any associated injuries to the abdominal organs or structures. While this specific code indicates that there is no foreign body present and that the peritoneal cavity remains intact, it is crucial to monitor for signs of infection or complications that may arise from the wound. Treatment typically involves cleaning the wound, possibly suturing, and providing appropriate follow-up care to prevent infection. Emergency surgical intervention may be necessary if there are signs of deeper injury or if the wound becomes complicated. The management of such wounds requires a multidisciplinary approach, often involving trauma surgeons, emergency medicine physicians, and wound care specialists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of abdominal wall injuries
  • Assessing for potential complications or associated injuries
  • Understanding the nuances of documentation for trauma cases
  • Navigating coding guidelines for trauma-related injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to note the absence of foreign bodies
  • Misclassification of the wound depth
  • Lack of follow-up documentation on wound healing

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 stab wounds, accidental punctures, or injuries from falls.

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support the coding.

Trauma Surgery

Documentation Requirements

Comprehensive surgical notes detailing the procedure, findings, and any complications.

Common Clinical Scenarios

Surgical intervention for abdominal wall injuries with potential complications.

Billing Considerations

Accurate documentation of any additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S31.13 When
  • According to ICD
  • 10 coding guidelines, S31
  • 13 should be used when there is a clear puncture wound of the abdominal wall without foreign body and without penetration into the peritoneal cavity
  • Coders must ensure that the documentation supports the absence of deeper injuries

Exclusion Criteria

Do NOT use S31.13 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 a puncture wound that does not require extensive intervention.

Documentation Requirements

Document the size of the wound 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 puncture wounds. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

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 S31.13 and S31.12?

S31.13 is used for puncture wounds of the abdominal wall without foreign body and without penetration into the peritoneal cavity, while S31.12 indicates a puncture wound with a foreign body present.