S31.020A: Laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter
S31.020A is a billable, specific ICD-10-CM code for laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter. It is valid for submission on a claim.
Check S31.020A with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S31
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Laceration with foreign body of lower back and pelvis NOS
Excludes1 inherited from the categories above S31.020A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S31.020A
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S31.020A is named in 14 Medicare coverage policies: 12 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52438Billing and Coding: Tetanus Immunization
- A53058Billing and Coding: Home Health Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.