S31.809S
S31.809S — Unspecified open wound of unspecified buttock, sequela
Billable / specific codeICD-10-CMPOA exempt
S31.809S is a billable, specific ICD-10-CM code for unspecified open wound of unspecified buttock, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S31
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S31.809S 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
S31.809S is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S31.809. If S31.809S is not quite right, the correct code is usually one of these.
Questions about S31.809S
- Is S31.809S a billable ICD-10-CM code?
- Yes. S31.809S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S31.809S 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).