S31.020D — Laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, subsequent encounter
S31.020D is a billable, specific ICD-10-CM code for laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent 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
Risk adjustment
S31.020D 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.
Medicare coverage
S31.020D is named in 9 Medicare coverage policies — 8 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Related codes at this level
Codes that share S31.020. If S31.020D is not quite right, the correct code is usually one of these.
Questions about S31.020D
- Is S31.020D a billable ICD-10-CM code?
- Yes. S31.020D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S31.020D 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).