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ICD-10 Guide
ICD-10 CodesS31.35

S31.35

Billable

Open bite of scrotum and testes

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

Code Description

ICD-10 S31.35 is a billable code used to indicate a diagnosis of open bite of scrotum and testes.

Key Diagnostic Point:

An open bite of the scrotum and testes is a traumatic injury characterized by a laceration or puncture wound to the scrotal area, which may involve the testes. This type of injury can occur due to various mechanisms, including animal bites, human bites, or sharp objects. The clinical presentation may include significant pain, swelling, and potential bleeding. In severe cases, there may be exposure of the testes or other internal structures, leading to a risk of infection and complications such as necrosis or testicular loss. Management typically involves thorough cleaning of the wound, assessment for associated injuries, and possible surgical intervention to repair the damage and prevent complications. Given the sensitive nature of the area, these injuries require careful evaluation and management by healthcare professionals, often necessitating urological consultation. Emergency surgical interventions may be required to address significant tissue loss or to repair any vascular compromise. The prognosis largely depends on the extent of the injury and the timeliness of treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and presentation
  • Need for detailed documentation of the mechanism of injury
  • Potential for associated injuries in the pelvic region
  • Requirement for surgical intervention and follow-up care

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Lack of clarity on the extent of surgical intervention
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed documentation of the injury, surgical procedures performed, and follow-up care.

Common Clinical Scenarios

Management of traumatic injuries to the scrotum, including lacerations and bites.

Billing Considerations

Consideration of potential complications such as testicular torsion or necrosis.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including vital signs, pain levels, and initial treatment provided.

Common Clinical Scenarios

Initial evaluation and stabilization of patients with scrotal injuries.

Billing Considerations

Timely referral to urology for surgical evaluation if indicated.

Coding Guidelines

Inclusion Criteria

Use S31.35 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, mechanism, and any associated injuries
  • Include details of surgical interventions if applicable

Exclusion Criteria

Do NOT use S31.35 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54000CPT Code

Incision and drainage of abscess, scrotum

Clinical Scenario

Used when there is an associated abscess formation due to the bite.

Documentation Requirements

Document the size, location, and nature of the abscess.

Specialty Considerations

Urology may be involved for further management.

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 open bites, which helps in better tracking and management of such injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of such injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of such injuries.

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 primary treatment for an open bite of the scrotum and testes?

The primary treatment involves thorough cleaning of the wound, assessment for associated injuries, and possible surgical intervention to repair any damage and prevent complications.