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S31.603S

S31.603S: Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, sequela

Billable / specific codeICD-10-CMPOA exemptright

S31.603S is a billable, specific ICD-10-CM code for unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, sequela. It is valid for submission on a claim.

Check S31.603S with the rest of the claim: free scrubber

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 inherited from the categories above S31.603S

A category’s note binds every code beneath it.

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 S31.603S

Not part of this code, but both may be coded when both are present.

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S31.603S is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S31.603

ICD-10-CMFY2027· effective October 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.