S31.654A
S31.654A: Open bite of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
Billable / specific codeICD-10-CMleft
S31.654A is a billable, specific ICD-10-CM code for open bite of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter. It is valid for submission on a claim.
Check S31.654A 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
Excludes1 inherited from the categories above S31.654A
A category’s note binds every code beneath it.
Written on S31.65: Open bite of abdominal wall with penetration into peritoneal cavity
Excludes2 inherited from the categories above S31.654A
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
S31.654A is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Code history
Unchanged in every release from FY2024 to FY2027.