S31.650A — Open bite of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
S31.650A is a billable, specific ICD-10-CM code for open bite of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter. It is valid for submission on a claim.
7th 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
Risk adjustment
S31.650A 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
S31.650A is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A55909Billing and Coding: Wound Care
Related codes at this level
Codes that share S31.650. If S31.650A is not quite right, the correct code is usually one of these.
Questions about S31.650A
- Is S31.650A a billable ICD-10-CM code?
- Yes. S31.650A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S31.650A 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).