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S31.140A

S31.140APuncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity, initial encounter

Billable / specific codeICD-10-CMright

S31.140A is a billable, specific ICD-10-CM code for puncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity, initial encounter. It is valid for submission on a claim.

7th 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

Excludes1 inherited from the categories above S31.140A

These are not written on S31.140A, but they bind it: a note on a category applies to every code beneath it. Billing S31.140A with anything listed here is a denial.

Written on S31 Open wound of abdomen, lower back, pelvis and external genitals

  • traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)

Excludes2 inherited from the categories above S31.140A

Also inherited, and the opposite of Excludes1: these conditions are not part of S31.140A, but a patient can have both, so you may code both.

Written on S31.1 Open wound of abdominal wall without penetration into peritoneal cavity

  • open wound of abdominal wall with penetration into peritoneal cavity (S31.6-)

Written on S31 Open wound of abdomen, lower back, pelvis and external genitals

Risk adjustment

S31.140A 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

S31.140A is named in 11 Medicare coverage policies 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52438Billing and Coding: Tetanus Immunization
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines

Code history

S31.140A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S31.140. If S31.140A is not quite right, the correct code is usually one of these.

Questions about S31.140A

Is S31.140A a billable ICD-10-CM code?
Yes. S31.140A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S31.140A 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).
What cannot be coded together with S31.140A?
S31.140A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S31.140A (S31) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.