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ICD-10 Guide
ICD-10 CodesS31.552

S31.552

Billable

Open bite of unspecified external genital organs, female

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

Code Description

ICD-10 S31.552 is a billable code used to indicate a diagnosis of open bite of unspecified external genital organs, female.

Key Diagnostic Point:

An open bite of the external genital organs in females refers to a traumatic injury characterized by a break in the skin and underlying tissues, resulting from a bite. This type of injury can occur due to various circumstances, including animal bites, human bites, or self-inflicted injuries. The external genital organs include the labia, clitoris, and vaginal opening. Such injuries can lead to significant bleeding, risk of infection, and potential complications involving the urinary and reproductive systems. In cases of severe 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 manage the wound, control bleeding, and prevent infection. Proper documentation of the mechanism of injury, 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

  • Variety of potential causes (animal bites, human bites, etc.)
  • Need for detailed documentation of injury mechanism
  • Potential for associated injuries in the pelvic and abdominal regions
  • Variability in treatment approaches and surgical interventions

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to report associated injuries
  • Incorrect coding of the severity of the injury
  • Lack of clarity in surgical intervention details

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, vital signs, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with bite wounds, often accompanied by pain, swelling, and potential bleeding.

Billing Considerations

Consideration of tetanus prophylaxis and antibiotic therapy for infection prevention.

Urology

Documentation Requirements

Assessment of urinary function and potential impact on reproductive health.

Common Clinical Scenarios

Injuries affecting the urinary tract or reproductive organs requiring surgical intervention.

Billing Considerations

Documentation of any urinary complications or need for reconstructive surgery.

Coding Guidelines

Inclusion Criteria

Use S31.552 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, mechanism, and any associated injuries
  • Include details of surgical interventions and follow
  • up care

Exclusion Criteria

Do NOT use S31.552 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of open bite injuries requiring suturing.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure accurate coding of the procedure performed.

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 open bites, which enhances the ability to track and analyze injury patterns and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which enhances the ability to track and analyze injury patterns and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which enhances the ability to track and analyze injury patterns and treatment outcomes.

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 an open bite and a laceration?

An open bite involves a break in the skin caused by a bite, while a laceration is a tear or cut in the skin that may not be caused by a bite. Accurate coding requires distinguishing between these two types of injuries.