S31.115 — Laceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity
S31.115 is a non-billable header ICD-10-CM code for laceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity. 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
S31.115 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 S31.115 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 S31.115.
- Laceration›umbilical region
- Laceration›abdomen, abdominal›wall›periumbilic region
Code to one of these instead S31.115
3 child codes. Green means billable.
- S31.115ALaceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity, initial encounter
- S31.115DLaceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity, subsequent encounter
- S31.115SLaceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity, sequela
Related codes at this level
Codes that share S31.11. If S31.115 is not quite right, the correct code is usually one of these.
- S31.110Laceration without foreign body of abdominal wall, right upper quadrant without penetration into peritoneal cavity
- S31.111Laceration without foreign body of abdominal wall, left upper quadrant without penetration into peritoneal cavity
- S31.112Laceration without foreign body of abdominal wall, epigastric region without penetration into peritoneal cavity
- S31.113Laceration without foreign body of abdominal wall, right lower quadrant without penetration into peritoneal cavity
- S31.114Laceration without foreign body of abdominal wall, left lower quadrant without penetration into peritoneal cavity
- S31.116Laceration without foreign body of abdominal wall, right flank without penetration into peritoneal cavity
- S31.117Laceration without foreign body of abdominal wall, left flank without penetration into peritoneal cavity
- S31.119Laceration without foreign body of abdominal wall, unspecified quadrant without penetration into peritoneal cavity
- S31.11ALaceration without foreign body of abdominal wall, unspecified flank without penetration into peritoneal cavity
Questions about S31.115
- Is S31.115 a billable ICD-10-CM code?
- No. S31.115 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S31.115 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).