S31.637D — Puncture wound of abdominal wall without foreign body, left flank with penetration into peritoneal cavity, subsequent encounter
S31.637D is a billable, specific ICD-10-CM code for puncture wound of abdominal wall without foreign body, left flank with penetration into peritoneal cavity, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S31
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S31.637D 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
S31.637D is named in 11 Medicare coverage policies — 11 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
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Related codes at this level
Codes that share S31.637. If S31.637D is not quite right, the correct code is usually one of these.
Questions about S31.637D
- Is S31.637D a billable ICD-10-CM code?
- Yes. S31.637D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S31.637D 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).