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ICD-10 Guide
ICD-10 CodesS31.521

S31.521

Billable

Laceration with foreign body of unspecified external genital organs, male

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

Code Description

ICD-10 S31.521 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified external genital organs, male.

Key Diagnostic Point:

S31.521 refers to a laceration involving the external genital organs of a male patient, where a foreign body is present. This condition often arises from traumatic incidents such as accidents, assaults, or surgical complications. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. Clinically, the patient may present with pain, swelling, and bleeding in the genital area. Diagnosis typically involves a thorough physical examination and imaging studies to assess the extent of the injury and the nature of the foreign body. Treatment may require emergency surgical intervention to remove the foreign object, repair the laceration, and prevent complications. The management of such injuries is critical, as they can have significant implications for the patient's reproductive health and overall well-being.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the coding process.
  • Need for precise documentation of the injury's location and severity.
  • Potential for associated injuries in the pelvic region.
  • Variability in treatment approaches based on the foreign body's nature.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and its impact on treatment.
  • Failure to specify the exact location of the laceration.
  • Misclassification of the injury severity.
  • Lack of follow-up documentation regarding the outcome of the intervention.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on the nature of the laceration, foreign body characteristics, and treatment performed.

Common Clinical Scenarios

Traumatic injuries from accidents, sports injuries, or assaults involving the genital area.

Billing Considerations

Consideration of potential long-term effects on urinary and reproductive function.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including mechanism of injury and immediate treatment provided.

Common Clinical Scenarios

Emergency presentations of genital trauma requiring urgent intervention.

Billing Considerations

Rapid assessment and intervention are critical to prevent complications.

Coding Guidelines

Inclusion Criteria

Use S31.521 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including the presence of a foreign body
  • Include any associated injuries or complications in coding

Exclusion Criteria

Do NOT use S31.521 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for the repair of the laceration after foreign body removal.

Documentation Requirements

Document the size and location of the laceration and the foreign body.

Specialty Considerations

Urologists may perform more complex repairs depending on the injury.

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 with foreign bodies. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity aids in better tracking of injury types and outcomes, improving patient care 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 should be documented for S31.521?

Documentation should include the mechanism of injury, specifics about the foreign body, the location and extent of the laceration, and any treatment provided.