Is S31.011 a billable ICD-10-CM code?

No. S31.011 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S31.011 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

S31.011

S31.011 — Laceration without foreign body of lower back and pelvis with penetration into retroperitoneum

Non-billable headerICD-10-CM

S31.011 is a non-billable header ICD-10-CM code for laceration without foreign body of lower back and pelvis with penetration into retroperitoneum. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S31

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

S31.011 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How S31.011 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S31.011.

Laceration›pelvic›with›penetration into retroperitoneal cavity
Laceration›back›lower›with›penetration into retroperitoneal space

Code to one of these instead S31.011

3 child codes. Green means billable.

Related codes at this level

Codes that share S31.01. If S31.011 is not quite right, the correct code is usually one of these.

S31.010Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum

Questions about S31.011

Is S31.011 a billable ICD-10-CM code?: No. S31.011 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S31.011 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).