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ICD-10 Guide
ICD-10 CodesS31.511

S31.511

Billable

Laceration without foreign body of unspecified external genital organs, male

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

Code Description

ICD-10 S31.511 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified external genital organs, male.

Key Diagnostic Point:

S31.511 refers to a laceration of the external genital organs in males that does not involve a foreign body. This type of injury can occur due to various mechanisms, including trauma from accidents, sports injuries, or assault. The external genital organs include the penis and scrotum, and injuries in this area can lead to significant bleeding, pain, and potential complications such as infection or damage to underlying structures. In cases of severe laceration, emergency surgical intervention may be required to repair the tissue, control bleeding, and prevent further complications. The management of such injuries often involves a multidisciplinary approach, including urologists and trauma surgeons, especially in cases where there is associated pelvic or abdominal trauma. Accurate coding is essential for proper treatment documentation and reimbursement, as well as for tracking injury patterns and outcomes in male patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of injury severity and extent
  • Need for precise anatomical localization
  • Differentiation from similar codes for other genital injuries
  • Potential for associated injuries requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the extent of the laceration
  • Misclassification of the injury type
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed description of the injury, including location and extent, as well as any surgical interventions performed.

Common Clinical Scenarios

Management of lacerations following trauma, surgical repair of genital injuries, and treatment of complications such as infections.

Billing Considerations

Urologists must ensure that all relevant anatomical details are documented to support accurate coding.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessment, including associated abdominal or pelvic injuries, and detailed surgical notes.

Common Clinical Scenarios

Emergency management of trauma patients with genital lacerations, including surgical repair and stabilization.

Billing Considerations

Trauma surgeons should document the mechanism of injury and any concurrent injuries to ensure proper coding.

Coding Guidelines

Inclusion Criteria

Use S31.511 When
  • According to ICD
  • 10 guidelines, S31
  • 511 should be used when a male patient presents with a laceration of the external genital organs without foreign body involvement
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are coded appropriately

Exclusion Criteria

Do NOT use S31.511 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 in the external genital area.

Documentation Requirements

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

Specialty Considerations

Urologists and trauma surgeons should ensure that the repair is documented in detail.

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 granularity of data collection and reimbursement processes. S31.511 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 granularity of data collection and reimbursement processes. S31.511 provides a clear distinction for lacerations without foreign bodies, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S31.511 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 S31.511 and S31.512?

S31.511 is used for lacerations without foreign bodies, while S31.512 is for lacerations that involve a foreign body. Accurate documentation is crucial to determine which code to use.