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ICD-10 Guide
ICD-10 CodesS31.532

S31.532

Billable

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

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

Code Description

ICD-10 S31.532 is a billable code used to indicate a diagnosis of puncture wound without foreign body of unspecified external genital organs, female.

Key Diagnostic Point:

A puncture wound without a foreign body of the external genital organs in females is characterized by a breach in the skin or mucosal surface that penetrates into the underlying tissues. This type of injury can occur due to various mechanisms, including accidental trauma, sexual assault, or self-inflicted injuries. The external genital organs include the vulva, clitoris, and surrounding structures. Clinically, these wounds may present with localized pain, swelling, and potential bleeding. The absence of a foreign body is significant as it influences the management and potential complications associated with the injury. Treatment typically involves thorough cleaning of the wound, assessment for any associated injuries, and possibly suturing if the wound is deep. In cases of significant trauma, further evaluation for pelvic or abdominal injuries may be warranted, especially if there are signs of internal bleeding or organ damage. Emergency surgical interventions may be necessary if there is extensive damage or if the wound is associated with other traumatic injuries. Proper documentation of the mechanism of injury, the extent of the wound, and any associated injuries is crucial for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of the mechanism of injury
  • Need for differentiation from other types of genital injuries
  • Potential for associated injuries requiring additional codes
  • Variability in clinical presentation and treatment approaches

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 absence of foreign bodies

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents, assaults, or self-harm.

Billing Considerations

Ensure thorough documentation of any associated injuries or complications.

Urology

Documentation Requirements

Comprehensive evaluation of the genital injury, including any potential impact on urinary function.

Common Clinical Scenarios

Management of genital trauma, including surgical repair if necessary.

Billing Considerations

Document any urinary symptoms or complications that may arise from the injury.

Coding Guidelines

Inclusion Criteria

Use S31.532 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, mechanism, and any associated conditions

Exclusion Criteria

Do NOT use S31.532 When
  • Exclude codes for injuries with foreign bodies unless specifically indicated

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the puncture wound if suturing is required.

Documentation Requirements

Document the size and depth of the wound, and the method of repair.

Specialty Considerations

Emergency medicine providers 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 without foreign bodies, improving the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those without foreign bodies, improving the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 significance of coding S31.532?

Coding S31.532 is crucial for accurately representing a specific type of injury that can have various implications for treatment and billing. It helps ensure that patients receive appropriate care and that providers are reimbursed correctly.