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ICD-10 Guide
ICD-10 CodesS31.531

S31.531

Billable

Puncture wound without foreign body of unspecified external genital organs, male

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

Code Description

ICD-10 S31.531 is a billable code used to indicate a diagnosis of puncture wound without foreign body of unspecified external genital organs, male.

Key Diagnostic Point:

A puncture wound of the external genital organs in males is characterized by a breach in the skin and underlying tissues caused by a sharp object, resulting in a wound that does not contain any foreign body. This type of injury can occur due to various mechanisms, including accidents, assaults, or self-inflicted injuries. The external genital organs include the penis and scrotum, and injuries in this area can lead to significant complications, including bleeding, infection, and potential damage to underlying structures. In cases of puncture wounds, the depth and extent of the injury can vary, necessitating careful assessment and management. Treatment often involves cleaning the wound, monitoring for signs of infection, and possibly surgical intervention if there is significant tissue damage or bleeding. Emergency surgical interventions may be required to repair any vascular or nerve damage, especially if the injury is deep or involves the urethra. Proper documentation of the mechanism of injury, the extent of the wound, and any associated injuries is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of the mechanism of injury
  • Potential for associated injuries in the pelvic region
  • Need for precise anatomical terminology
  • Differentiation from similar codes for other types of genital injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Misclassification of the type of wound
  • Lack of clarity on the treatment provided

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, treatment provided, and any follow-up care.

Common Clinical Scenarios

Patients presenting with stab wounds, accidental punctures, or injuries from sharp objects.

Billing Considerations

Ensure that all relevant details are captured to support the diagnosis and any procedures performed.

Urology

Documentation Requirements

Comprehensive documentation of any urinary tract involvement and potential complications.

Common Clinical Scenarios

Patients with genital trauma requiring surgical intervention or urological assessment.

Billing Considerations

Focus on documenting any potential impact on urinary function or reproductive health.

Coding Guidelines

Inclusion Criteria

Use S31.531 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the documentation specifies a puncture wound without foreign body

Exclusion Criteria

Do NOT use S31.531 When
  • Exclude cases where foreign bodies are present or where the injury is classified under other specific codes

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the puncture wound requires suturing or closure.

Documentation Requirements

Document the size, location, and complexity of the wound.

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 puncture wounds, which enhances the ability to capture the complexity and nuances of these injuries for better clinical management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds, which enhances the ability to capture the complexity and nuances of these injuries for better clinical management 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 is the difference between S31.531 and S31.532?

S31.531 is used for puncture wounds without foreign bodies, while S31.532 is for those with foreign bodies present. Accurate documentation is essential to determine which code to use.