S31.640 — Puncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
S31.640 is a non-billable header ICD-10-CM code for puncture wound with foreign body of abdominal wall, right upper quadrant 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
Excludes1 inherited from the categories above S31.640
These are not written on S31.640, but they bind it: a note on a category applies to every code beneath it. Billing S31.640 with anything listed here is a denial.
Excludes2 inherited from the categories above S31.640
Also inherited, and the opposite of Excludes1: these conditions are not part of S31.640, but a patient can have both, so you may code both.
Risk adjustment
S31.640 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.
How S31.640 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S31.640.
- Puncture›abdomen, abdominal›wall›right›upper quadrant›with›penetration into peritoneal cavity›with foreign body
Code history
S31.640 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead S31.640
3 child codes. Green means billable.
- S31.640APuncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.640DPuncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, subsequent encounter
- S31.640SPuncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, sequela
Related codes at this level
Codes that share S31.64. If S31.640 is not quite right, the correct code is usually one of these.
- S31.641Puncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity
- S31.642Puncture wound with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity
- S31.643Puncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
- S31.644Puncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity
- S31.645Puncture wound with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity
- S31.646Puncture wound of abdominal wall with foreign body, right flank with penetration into peritoneal cavity
- S31.647Puncture wound of abdominal wall with foreign body, left flank with penetration into peritoneal cavity
- S31.649Puncture wound with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity
- S31.64APuncture wound of abdominal wall with foreign body, unspecified flank with penetration into peritoneal cavity
Questions about S31.640
- Is S31.640 a billable ICD-10-CM code?
- No. S31.640 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S31.640 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).
- What cannot be coded together with S31.640?
- S31.640 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S31.640 (S31) and apply to it just the same.