Is S31.54 a billable ICD-10-CM code?

No. S31.54 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S31.54 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).

S31.54

S31.54 — Puncture wound with foreign body of unspecified external genital organs

Non-billable headerICD-10-CM

S31.54 is a non-billable header ICD-10-CM code for puncture wound with foreign body of unspecified external genital organs. 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

S31.54 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.

Code to one of these instead S31.54

2 child codes. Green means billable.

Related codes at this level

Codes that share S31.5. If S31.54 is not quite right, the correct code is usually one of these.

Questions about S31.54

Is S31.54 a billable ICD-10-CM code?: No. S31.54 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S31.54 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).