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ICD-10 Guide
ICD-10 CodesS31.512

S31.512

Billable

Laceration without foreign body of unspecified external genital organs, female

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

Code Description

ICD-10 S31.512 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified external genital organs, female.

Key Diagnostic Point:

S31.512 refers to a laceration of the external genital organs in females that does not involve a foreign body. This type of injury can occur due to various mechanisms, including trauma from accidents, sexual assault, or surgical procedures. The external genital organs include the vulva, clitoris, and perineum. Lacerations can vary in severity from superficial cuts to deep wounds that may involve underlying structures. Accurate assessment of the injury is crucial, as it can impact treatment decisions and potential complications. In cases of significant trauma, associated injuries to the pelvic region, lumbar spine, or abdominal organs may also be present, necessitating a comprehensive evaluation. Emergency surgical intervention may be required to repair the laceration, control bleeding, and prevent infection. Proper documentation of the injury's extent, mechanism, and any associated injuries is essential for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of injury mechanism
  • Failure to note associated injuries
  • Incorrect coding of severity or type of laceration
  • Lack of clarity in surgical intervention details

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the mechanism of injury, assessment of associated injuries, and treatment provided.

Common Clinical Scenarios

Trauma cases from accidents, assaults, or surgical complications.

Billing Considerations

Timely documentation is critical due to the nature of emergency care.

Obstetrics/Gynecology

Documentation Requirements

Thorough documentation of the laceration's extent, location, and any surgical repair performed.

Common Clinical Scenarios

Lacerations occurring during childbirth or gynecological procedures.

Billing Considerations

Consideration of potential complications such as infection or healing issues.

Coding Guidelines

Inclusion Criteria

Use S31.512 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the mechanism, severity, and any associated injuries

Exclusion Criteria

Do NOT use S31.512 When
  • Exclude cases where foreign bodies are present or where the injury is classified under different codes

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of lacerations without significant tissue loss.

Documentation Requirements

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

Specialty Considerations

Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of 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, including those of the external genital organs. This specificity aids in better tracking of injury patterns and outcomes, which can influence treatment protocols and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those of the external genital organs. This specificity aids in better tracking of injury patterns and outcomes, which can influence treatment protocols and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those of the external genital organs. This specificity aids in better tracking of injury patterns and outcomes, which can influence treatment protocols and resource allocation.

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 S31.512 and S31.511?

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