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v1.0.0
ICD-10 Guide
ICD-10 CodesS31.825

S31.825

Billable

Open bite of left buttock

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

Code Description

ICD-10 S31.825 is a billable code used to indicate a diagnosis of open bite of left buttock.

Key Diagnostic Point:

An open bite of the left buttock refers to a wound characterized by a break in the skin and underlying tissues, typically resulting from a human or animal bite. This type of injury can lead to significant trauma, including potential damage to the underlying muscles, nerves, and blood vessels. In cases of open bites, there is a risk of infection due to the introduction of bacteria from the mouth of the biting entity. Clinically, patients may present with pain, swelling, and erythema at the site of the bite. The management of such injuries often requires thorough cleaning of the wound, possible debridement, and sometimes surgical intervention to repair any damaged structures. Additionally, the assessment of associated injuries, particularly in the context of trauma, is crucial, as pelvic injuries or lumbar spine trauma may coexist, necessitating a comprehensive evaluation and treatment plan. Emergency surgical interventions may be required if there is significant tissue loss or if the bite has penetrated deeply enough to compromise vital structures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Potential for associated injuries requiring additional codes
  • Variability in documentation quality among providers
  • Need for precise anatomical localization
  • Differentiation from similar codes (e.g., other types of bites or wounds)

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Lack of clarity on the depth of the wound
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with bite wounds from animals or humans, often in the context of trauma.

Billing Considerations

Ensure thorough documentation of the wound's characteristics and any surgical interventions performed.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of deep bite wounds with potential reconstruction of damaged tissues.

Billing Considerations

Accurate coding of surgical procedures performed in conjunction with the injury.

Coding Guidelines

Inclusion Criteria

Use S31.825 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring accurate documentation of the injury site and type
  • Include any associated injuries or complications in the coding process
  • The code S31
  • 825 should be used when the injury is specifically to the left buttock and is an open bite

Exclusion Criteria

Do NOT use S31.825 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for the repair of the open bite wound after thorough cleaning.

Documentation Requirements

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

Specialty Considerations

Ensure that the procedure is documented in the operative report.

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 can improve the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which can improve the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 closed bite?

An open bite involves a break in the skin, exposing underlying tissues, while a closed bite does not penetrate the skin. Open bites carry a higher risk of infection and require different coding.