ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS31.653

S31.653

Billable

Open bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity

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

Code Description

ICD-10 S31.653 is a billable code used to indicate a diagnosis of open bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity.

Key Diagnostic Point:

An open bite of the abdominal wall in the right lower quadrant with penetration into the peritoneal cavity is a serious injury that typically results from trauma, such as a bite from an animal or human. This type of injury can lead to significant complications, including peritonitis, hemorrhage, and organ damage. The right lower quadrant houses vital structures, including the appendix, cecum, and portions of the small intestine. When the abdominal wall is compromised, there is a risk of contamination from external sources, which can lead to infection. Emergency surgical intervention is often required to repair the abdominal wall, clean the peritoneal cavity, and assess for any damage to internal organs. The management of such injuries requires a multidisciplinary approach, including trauma surgery, infectious disease specialists, and critical care teams, to ensure optimal patient outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of the mechanism of injury.
  • Involves assessment of potential organ damage.
  • May necessitate multiple surgical interventions.
  • Requires understanding of anatomical implications.

Audit Risk Factors

  • Inadequate documentation of the injury mechanism.
  • Failure to document surgical interventions performed.
  • Misclassification of the injury severity.
  • Omission of associated injuries or complications.

Specialty Focus

Medical Specialties

Trauma Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and notes on the mechanism of injury.

Common Clinical Scenarios

Management of traumatic abdominal injuries, including bites and stab wounds.

Billing Considerations

Accurate documentation of the extent of injury and any intraoperative findings is crucial for coding.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Emergency evaluation and stabilization of patients with abdominal trauma.

Billing Considerations

Timely documentation is essential to capture the acute nature of the injury.

Coding Guidelines

Inclusion Criteria

Use S31.653 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, location, and any associated complications
  • This code is specific to open bites with peritoneal involvement, necessitating careful consideration of the clinical scenario

Exclusion Criteria

Do NOT use S31.653 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49000CPT Code

Exploratory laparotomy

Clinical Scenario

Used when surgical exploration is needed for abdominal trauma.

Documentation Requirements

Operative report detailing findings and interventions.

Specialty Considerations

Trauma surgeons must document the extent of injury and any repairs 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, such as open bites with peritoneal involvement, which enhances the accuracy of patient records and facilitates better tracking of outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as open bites with peritoneal involvement, which enhances the accuracy of patient records and facilitates better tracking of outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, such as open bites with peritoneal involvement, which enhances the accuracy of patient records and facilitates better tracking of outcomes and resource utilization.

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 S31.653?

Coding S31.653 accurately reflects the severity of the injury and the need for potential surgical intervention, which is crucial for appropriate patient management and reimbursement.