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ICD-10 Guide
ICD-10 CodesS31.42

S31.42

Billable

Laceration with foreign body of vagina and vulva

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

Code Description

ICD-10 S31.42 is a billable code used to indicate a diagnosis of laceration with foreign body of vagina and vulva.

Key Diagnostic Point:

S31.42 refers to a laceration involving the vagina and vulva that is complicated by the presence of a foreign body. This condition can arise from various traumatic incidents, including sexual assault, accidents, or surgical complications. The presence of a foreign body can lead to increased risk of infection, delayed healing, and may necessitate surgical intervention to remove the object and repair the laceration. Clinically, patients may present with pain, bleeding, and signs of infection. Proper assessment and documentation of the type of foreign body, the extent of the laceration, and any associated injuries are crucial for accurate coding and treatment planning. Emergency surgical interventions may be required to address both the laceration and the foreign body, emphasizing the need for thorough evaluation and management in a timely manner.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Requires detailed documentation of the type and location of the foreign body
  • Potential for associated injuries in the pelvic region
  • Need for surgical intervention may vary based on the severity of the laceration

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document associated injuries
  • Lack of clarity on the mechanism of injury
  • Improper coding of the severity of the laceration

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the mechanism of injury, type of foreign body, and treatment provided.

Common Clinical Scenarios

Patients presenting with trauma from accidents, sexual assault, or surgical complications.

Billing Considerations

Ensure all injuries are documented, including any potential need for surgical intervention.

Obstetrics and Gynecology

Documentation Requirements

Comprehensive documentation of the laceration extent, foreign body details, and any associated gynecological injuries.

Common Clinical Scenarios

Management of trauma during childbirth or gynecological procedures.

Billing Considerations

Consideration of the patient's obstetric history and potential complications.

Coding Guidelines

Inclusion Criteria

Use S31.42 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the laceration's location, severity, and the nature of the foreign body
  • Include any associated injuries or complications in the coding process

Exclusion Criteria

Do NOT use S31.42 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of lacerations with foreign bodies.

Documentation Requirements

Document the extent of the laceration and foreign body removal.

Specialty Considerations

Emergency medicine and surgical specialties should ensure accurate coding for repairs.

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 with foreign bodies, improving the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, improving the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 importance of documenting the foreign body?

Documenting the foreign body is crucial for accurate coding, as it directly impacts the complexity of the injury and the treatment required.