S31.63AA: Puncture wound of abdominal wall without foreign body, unspecified flank with penetration into peritoneal cavity, initial encounter
S31.63AA is a billable, specific ICD-10-CM code for puncture wound of abdominal wall without foreign body, unspecified flank with penetration into peritoneal cavity, initial encounter. It is valid for submission on a claim.
Check S31.63AA with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S31
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Puncture wound of abdominal wall without foreign body, flank NOS, with penetration into peritoneal cavity
Excludes1 inherited from the categories above S31.63AA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S31.63AA
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S31.63AA is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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Code history
- addedFY2024-FY2027
Puncture wound of abdominal wall without foreign body, unspecified flank with penetration into peritoneal cavity, initial encounter