S31.643 — Puncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity
S31.643 is a non-billable header ICD-10-CM code for puncture wound with foreign body of abdominal wall, right lower 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
Risk adjustment
S31.643 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 S31.643 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 S31.643.
- Puncture›abdomen, abdominal›wall›right›lower quadrant›with›penetration into peritoneal cavity›with foreign body
Code to one of these instead S31.643
3 child codes. Green means billable.
- S31.643APuncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.643DPuncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, subsequent encounter
- S31.643SPuncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, sequela
Related codes at this level
Codes that share S31.64. If S31.643 is not quite right, the correct code is usually one of these.
- S31.640Puncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity
- 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
- S31.644Puncture 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 S31.643
- Is S31.643 a billable ICD-10-CM code?
- No. S31.643 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S31.643 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).