S31.63
S31.63 — Puncture wound without foreign body of abdominal wall with penetration into peritoneal cavity
Non-billable headerICD-10-CM
S31.63 is a non-billable header ICD-10-CM code for puncture wound without foreign body 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
S31.63 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 S31.63
10 child codes. Green means billable.
- S31.630Puncture wound without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
- S31.631Puncture wound without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
- S31.632Puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity
- S31.633Puncture wound without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
- S31.634Puncture wound without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
- S31.635Puncture wound without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity
- S31.636Puncture wound of abdominal wall without foreign body, right flank with penetration into peritoneal cavity
- S31.637Puncture wound of abdominal wall without foreign body, left flank with penetration into peritoneal cavity
- S31.639Puncture wound without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
- S31.63APuncture wound of abdominal wall without foreign body, unspecified flank with penetration into peritoneal cavity
Related codes at this level
Codes that share S31.6. If S31.63 is not quite right, the correct code is usually one of these.
- 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
- S31.64Puncture wound with foreign body of abdominal wall with penetration into peritoneal cavity
- S31.65Open bite of abdominal wall with penetration into peritoneal cavity
Questions about S31.63
- Is S31.63 a billable ICD-10-CM code?
- No. S31.63 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S31.63 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).