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ICD-10 Guide
ICD-10 CodesS31.501

S31.501

Billable

Unspecified open wound of unspecified external genital organs, male

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

Code Description

ICD-10 S31.501 is a billable code used to indicate a diagnosis of unspecified open wound of unspecified external genital organs, male.

Key Diagnostic Point:

The ICD-10 code S31.501 refers to an unspecified open wound of the external genital organs in males. This type of injury can occur due to various traumatic events, including accidents, assaults, or surgical complications. Open wounds in this area may involve lacerations, abrasions, or punctures that can lead to significant bleeding, infection, and potential damage to underlying structures. The management of such wounds often requires careful assessment to determine the extent of injury, particularly in relation to the abdominal and pelvic regions, as well as the lumbar spine. Genitourinary injuries may also be present, necessitating a multidisciplinary approach for treatment. Emergency surgical interventions may be required to control bleeding, repair damaged tissues, or prevent complications. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking injury patterns in male patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of injury specifics
  • Potential for associated injuries in the pelvic and abdominal regions
  • Need for precise anatomical terminology
  • Differentiation from similar codes for other types of wounds

Audit Risk Factors

  • Insufficient documentation of the mechanism of injury
  • Lack of detail regarding associated injuries
  • Inconsistent use of terminology in clinical notes
  • Failure to document the treatment provided

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on the nature of the wound, associated injuries, and treatment provided.

Common Clinical Scenarios

Management of traumatic injuries to the external genitalia, including lacerations and contusions.

Billing Considerations

Consideration of potential urinary tract injuries and the need for imaging studies.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the patient's condition upon arrival, including vital signs and mechanism of injury.

Common Clinical Scenarios

Acute presentations of trauma to the genital area, often requiring immediate intervention.

Billing Considerations

Timely documentation of interventions and consultations with surgical teams.

Coding Guidelines

Inclusion Criteria

Use S31.501 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used only when the specific site of the wound is not documented
  • Include additional codes for any associated injuries or complications

Exclusion Criteria

Do NOT use S31.501 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 open wounds in the genital area.

Documentation Requirements

Document the size and depth of the wound, as well as the technique used.

Specialty Considerations

Urology specialists may require additional details regarding 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, which aids in better tracking of trauma cases and improves the accuracy of reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, which aids in better tracking of trauma cases and improves the accuracy of reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 should I document to support the use of S31.501?

Document the mechanism of injury, the extent of the wound, any associated injuries, and the treatment provided. Ensure that all details are clear and specific to avoid confusion.