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ICD-10 Guide
ICD-10 CodesS31.542

S31.542

Billable

Puncture wound with foreign body of unspecified external genital organs, female

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

Code Description

ICD-10 S31.542 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified external genital organs, female.

Key Diagnostic Point:

A puncture wound with a foreign body in the external genital organs of a female can occur due to various traumatic incidents, including accidents, assaults, or self-inflicted injuries. This type of injury may involve penetration of the skin and underlying tissues, potentially leading to complications such as infection, hemorrhage, or damage to adjacent structures. The external genital organs include the vulva, clitoris, and perineum, and injuries in this area can be particularly sensitive and may require careful assessment and management. The presence of a foreign body complicates the clinical picture, necessitating surgical intervention for removal and repair. Emergency care is critical, as these injuries can lead to significant morbidity if not addressed promptly. Treatment may involve wound cleaning, debridement, and possibly suturing, depending on the extent of the injury. The management of such injuries also requires consideration of the patient's psychological state, especially in cases of sexual assault, where trauma-informed care is essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of the injury mechanism
  • Need for precise anatomical localization
  • Potential for associated injuries requiring additional coding
  • Complexity of surgical interventions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document the presence of foreign bodies
  • Lack of detailed surgical notes
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with puncture wounds from accidents or assaults.

Billing Considerations

Ensure thorough documentation of psychological assessments in cases of sexual assault.

Urology

Documentation Requirements

Comprehensive evaluation of the injury, including imaging studies and surgical findings.

Common Clinical Scenarios

Management of foreign bodies in the external genitalia requiring surgical intervention.

Billing Considerations

Document any potential impact on urinary function or reproductive health.

Coding Guidelines

Inclusion Criteria

Use S31.542 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, location, and any foreign bodies present

Exclusion Criteria

Do NOT use S31.542 When
  • Exclude codes for injuries that do not involve foreign bodies or are not specific to the external genital organs

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the wound requires suturing after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure detailed notes on the repair process.

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 involving foreign bodies, which enhances 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 involving foreign bodies, which enhances 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 should I document for a puncture wound with a foreign body?

Document the mechanism of injury, the presence and type of foreign body, the location of the wound, and any treatment provided, including surgical interventions.