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ICD-10 Guide
ICD-10 CodesS31.51

S31.51

Billable

Laceration without foreign body of unspecified external genital organs

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

Code Description

ICD-10 S31.51 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified external genital organs.

Key Diagnostic Point:

S31.51 refers to a laceration of the external genital organs that does not involve a foreign body. This type of injury can occur due to various mechanisms, including trauma from accidents, falls, or assaults. The external genital organs include structures such as the penis, scrotum, vulva, and perineum. Lacerations can vary in severity, from superficial cuts to deep wounds that may involve underlying tissues. In cases of significant trauma, associated injuries to the pelvic region, lumbar spine, or genitourinary system may also be present. Emergency surgical interventions may be required to repair the laceration, control bleeding, and prevent infection. Proper assessment and documentation of the injury's extent and associated complications are crucial for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and type
  • Potential for associated injuries in the pelvic and lumbar regions
  • Need for detailed documentation of the injury mechanism
  • Differentiation from other genital injuries

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries
  • Incorrect coding of severity or type of laceration
  • Misidentification of the anatomical site

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury, mechanism of trauma, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma from accidents, assaults, or sports injuries involving the genital area.

Billing Considerations

Ensure that all associated injuries are documented to support comprehensive coding.

Urology

Documentation Requirements

Thorough assessment of the injury, including any potential impact on urinary function and reproductive health.

Common Clinical Scenarios

Patients with lacerations requiring surgical repair or those with complications such as bleeding or infection.

Billing Considerations

Documentation should include any surgical interventions and follow-up care plans.

Coding Guidelines

Inclusion Criteria

Use S31.51 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's nature, location, and associated conditions

Exclusion Criteria

Do NOT use S31.51 When
  • Exclude cases involving foreign bodies or other specific genital injuries

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration of the external genital organs.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Emergency medicine and urology may have specific protocols for documenting genital injuries.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes. S31.51 provides a clear distinction for lacerations without foreign bodies, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of data collection and reimbursement processes. S31.51 provides a clear distinction for lacerations without foreign bodies, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S31.51 provides a clear distinction for lacerations without foreign bodies, which aids in clinical management and research.

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 S31.51 and S31.52?

S31.51 is used for lacerations without foreign bodies, while S31.52 is for lacerations that involve foreign bodies. Accurate documentation is essential to determine which code to use.