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ICD-10 Guide
ICD-10 CodesS31.502

S31.502

Billable

Unspecified open wound of unspecified external genital organs, female

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

Code Description

ICD-10 S31.502 is a billable code used to indicate a diagnosis of unspecified open wound of unspecified external genital organs, female.

Key Diagnostic Point:

The ICD-10 code S31.502 refers to an unspecified open wound of the external genital organs in females. This type of injury can occur due to various traumatic events, including accidents, assaults, or surgical interventions. Open wounds in this region may involve lacerations, abrasions, or punctures that can lead to significant bleeding, infection, and complications if not treated promptly. The management of such wounds often requires a thorough assessment of the extent of the injury, including potential involvement of surrounding structures such as the pelvic organs and lumbar spine. Emergency surgical interventions may be necessary to control bleeding, repair tissue, and prevent infection. The complexity of coding this condition arises from the need to accurately document the nature of the wound, the mechanism of injury, and any associated injuries to the abdomen or pelvis, which may complicate the clinical picture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of the type and extent of the wound
  • Potential for associated injuries to pelvic organs or lumbar spine
  • Need for precise terminology to describe the injury
  • Variations in treatment approaches based on injury severity

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of open wound
  • Lack of detail regarding associated injuries
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed descriptions of the mechanism of injury, assessment findings, and treatment provided.

Common Clinical Scenarios

Trauma cases involving assaults, accidents, or falls resulting in genital injuries.

Billing Considerations

Ensure that all associated injuries are documented to support coding for potential complications.

Obstetrics/Gynecology

Documentation Requirements

Comprehensive notes on the patient's history, examination findings, and any surgical interventions performed.

Common Clinical Scenarios

Injuries occurring during childbirth or gynecological procedures.

Billing Considerations

Document any surgical repairs or interventions to clarify the nature of the injury.

Coding Guidelines

Inclusion Criteria

Use S31.502 When
  • According to ICD
  • 10 coding guidelines, this code should be used when the specific type of open wound cannot be determined
  • Coders must ensure that the documentation supports the use of this unspecified code and consider the context of the injury

Exclusion Criteria

Do NOT use S31.502 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 the open wound documented under S31.502.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that all repairs are documented accurately.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of injuries, including those of the external genital organs. This code reflects the need for specificity in documenting trauma, which can impact treatment decisions and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of injuries, including those of the external genital organs. This code reflects the need for specificity in documenting trauma, which can impact treatment decisions and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 S31.502?

Document the mechanism of injury, the type of wound, any associated injuries, and the treatment provided. Ensure that all details are clear and consistent.