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ICD-10 Guide
ICD-10 CodesS31.624

S31.624

Billable

Laceration with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity

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

Code Description

ICD-10 S31.624 is a billable code used to indicate a diagnosis of laceration with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity.

Key Diagnostic Point:

S31.624 describes a specific type of abdominal wall injury characterized by a laceration that includes a foreign body and penetrates into the peritoneal cavity. This condition typically arises from traumatic incidents such as stab wounds, gunshot wounds, or accidents involving sharp objects. The left lower quadrant of the abdomen houses vital organs, including parts of the intestines and the left ovary in females, making injuries in this area particularly concerning. Penetration into the peritoneal cavity can lead to serious complications, including peritonitis, hemorrhage, and organ damage. Immediate medical evaluation is crucial, often requiring imaging studies such as CT scans to assess the extent of the injury and the presence of any foreign bodies. Surgical intervention is frequently necessary to repair the laceration, remove foreign objects, and address any damage to internal organs. The management of such injuries requires a multidisciplinary approach, often involving trauma surgeons, radiologists, and critical care specialists to ensure optimal patient outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of the type and location of the laceration.
  • Involves understanding of anatomy and potential complications.
  • Need for detailed operative reports if surgical intervention is performed.
  • Potential for multiple injuries requiring comprehensive coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the type of foreign body.
  • Lack of clarity on whether the peritoneal cavity was entered.
  • Inconsistent coding of associated injuries.

Specialty Focus

Medical Specialties

Trauma Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and injury assessments.

Common Clinical Scenarios

Gunshot wounds, stab wounds, and industrial accidents.

Billing Considerations

Accurate description of the injury mechanism and surgical findings is critical.

Emergency Medicine

Documentation Requirements

Comprehensive triage notes and initial assessment findings.

Common Clinical Scenarios

Acute trauma presentations and management of penetrating injuries.

Billing Considerations

Timely documentation is essential for coding and billing purposes.

Coding Guidelines

Inclusion Criteria

Use S31.624 When
  • According to ICD
  • CM guidelines, S31
  • 624 should be used when there is a documented laceration with a foreign body that has penetrated the peritoneal cavity
  • Coders must ensure that the documentation supports the diagnosis and that all relevant details are captured

Exclusion Criteria

Do NOT use S31.624 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49002CPT Code

Exploratory laparotomy

Clinical Scenario

Used when surgical intervention is required for penetrating abdominal injuries.

Documentation Requirements

Operative report detailing the findings and procedures performed.

Specialty Considerations

Trauma surgeons must document the extent of the injury 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 injuries, such as S31.624, which provides better data for tracking and managing trauma cases. This specificity aids in research and improves patient care by ensuring appropriate treatment protocols are followed.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as S31.624, which provides better data for tracking and managing trauma cases. This specificity aids in research and improves patient care by ensuring appropriate treatment protocols are followed.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, such as S31.624, which provides better data for tracking and managing trauma cases. This specificity aids in research and improves patient care by ensuring appropriate treatment protocols are followed.

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 documentation is required to support the use of S31.624?

Documentation must include a detailed description of the laceration, the presence of any foreign body, imaging results, and surgical findings if applicable.