Is S31.35XS a billable ICD-10-CM code?

Yes. S31.35XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S31.35XS 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 S31.35XS?

S31.35XS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

S31.35XS

S31.35XS — Open bite of scrotum and testes, sequela

Billable / specific codeICD-10-CMPOA exempt

S31.35XS is a billable, specific ICD-10-CM code for open bite of scrotum and testes, sequela. It is valid for submission on a claim.

7th character "S" — sequela

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

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

superficial bite of scrotum and testes (S30.863, S30.873)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Bite of scrotum and testes NOS

Risk adjustment

S31.35XS 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

S31.35XS is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Related codes at this level

Codes that share S31.35. If S31.35XS is not quite right, the correct code is usually one of these.

Questions about S31.35XS

Is S31.35XS a billable ICD-10-CM code?: Yes. S31.35XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S31.35XS 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 S31.35XS?: S31.35XS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.