S31.6
S31.6 — Open wound of abdominal wall with penetration into peritoneal cavity
Non-billable headerICD-10-CM
S31.6 is a non-billable header ICD-10-CM code for open wound of abdominal wall with 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
S31.6 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 S31.6
6 child codes. Green means billable.
- S31.60Unspecified open wound of abdominal wall with penetration into peritoneal cavity
- S31.61Laceration without foreign body of abdominal wall with penetration into peritoneal cavity
- S31.62Laceration with foreign body of abdominal wall with penetration into peritoneal cavity
- S31.63Puncture wound without foreign body of abdominal wall with penetration into peritoneal cavity
- S31.64Puncture wound with foreign body of abdominal wall with penetration into peritoneal cavity
- S31.65Open bite of abdominal wall with penetration into peritoneal cavity
Related codes at this level
Codes that share S31. If S31.6 is not quite right, the correct code is usually one of these.
- S31.0Open wound of lower back and pelvis
- S31.1Open wound of abdominal wall without penetration into peritoneal cavity
- S31.2Open wound of penis
- S31.3Open wound of scrotum and testes
- S31.4Open wound of vagina and vulva
- S31.5Open wound of unspecified external genital organs
- S31.8Open wound of other parts of abdomen, lower back and pelvis
Questions about S31.6
- Is S31.6 a billable ICD-10-CM code?
- No. S31.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S31.6 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).