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v1.0.0
ICD-10 Guide
ICD-10 CodesS31.619

S31.619

Billable

Laceration without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity

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

Code Description

ICD-10 S31.619 is a billable code used to indicate a diagnosis of laceration without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity.

Key Diagnostic Point:

S31.619 refers to a laceration of the abdominal wall that does not involve a foreign body and penetrates into the peritoneal cavity. This type of injury is often the result of blunt or penetrating trauma, such as from a knife or a gunshot wound. The peritoneal cavity houses vital organs, and penetration can lead to serious complications, including hemorrhage, infection, and damage to internal organs. Clinical assessment typically involves imaging studies, such as ultrasound or CT scans, to evaluate the extent of the injury and any associated organ damage. Emergency surgical intervention may be required to repair the laceration and address any complications. The management of such injuries is critical, as they can lead to significant morbidity and mortality if not treated promptly and effectively.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Need for precise documentation of the injury's location and extent
  • Differentiation between lacerations and other types of abdominal injuries
  • Potential for associated injuries to internal organs
  • Variability in clinical presentation and required interventions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the quadrant of the abdominal wall affected
  • Lack of imaging reports to support the diagnosis
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed notes on the mechanism of injury, vital signs, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with stab wounds or gunshot wounds to the abdomen.

Billing Considerations

Timely documentation is crucial due to the fast-paced nature of emergency care.

General Surgery

Documentation Requirements

Operative reports detailing the surgical intervention, findings, and any complications.

Common Clinical Scenarios

Surgical repair of abdominal wall lacerations with peritoneal involvement.

Billing Considerations

Accurate coding of surgical procedures performed in conjunction with the laceration repair.

Coding Guidelines

Inclusion Criteria

Use S31.619 When
  • According to ICD
  • 10 coding guidelines, S31
  • 619 should be used when the laceration is documented as penetrating into the peritoneal cavity without a foreign body
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are coded appropriately

Exclusion Criteria

Do NOT use S31.619 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49000CPT Code

Exploratory laparotomy

Clinical Scenario

Used when surgical intervention is required for abdominal laceration.

Documentation Requirements

Operative report detailing findings and procedures performed.

Specialty Considerations

General surgeons must document the extent of the laceration and any repairs made.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abdominal injuries, improving the accuracy of data collection and reimbursement processes. S31.619 provides a clear distinction for lacerations with peritoneal involvement, which is critical for appropriate management and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abdominal injuries, improving the accuracy of data collection and reimbursement processes. S31.619 provides a clear distinction for lacerations with peritoneal involvement, which is critical for appropriate management and billing.

Reimbursement & Billing Impact

reimbursement processes. S31.619 provides a clear distinction for lacerations with peritoneal involvement, which is critical for appropriate management and 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 specifying the quadrant in abdominal laceration coding?

Specifying the quadrant is crucial for understanding the extent of the injury and potential complications, as different quadrants may involve different internal organs and require different surgical approaches.