Version 2024

2024 ICD-10-CM Diagnosis Code S31.4

Open wound of vagina and vulva

ICD-10-CM Code:
S31.4
ICD-10 Code for:
Open wound of vagina and vulva
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
      (S30-S39)
      • Open wound of abdomen, lower back, pelvis and external genitals
        (S31)

S31.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of open wound of vagina and vulva. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Open wound of vagina and vulva

Non-specific codes like S31.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for open wound of vagina and vulva:

  • S31.40 for Unspecified open wound of vagina and vulva - NON-BILLABLE CODE

  • Use S31.40XA for initial encounter - BILLABLE CODE

  • Use S31.40XD for subsequent encounter - BILLABLE CODE

  • Use S31.40XS for sequela - BILLABLE CODE

  • S31.41 for Laceration without foreign body of vagina and vulva - NON-BILLABLE CODE

  • Use S31.41XA for initial encounter - BILLABLE CODE

  • Use S31.41XD for subsequent encounter - BILLABLE CODE

  • Use S31.41XS for sequela - BILLABLE CODE

  • S31.42 for Laceration with foreign body of vagina and vulva - NON-BILLABLE CODE

  • Use S31.42XA for initial encounter - BILLABLE CODE

  • Use S31.42XD for subsequent encounter - BILLABLE CODE

  • Use S31.42XS for sequela - BILLABLE CODE

  • S31.43 for Puncture wound without foreign body of vagina and vulva - NON-BILLABLE CODE

  • Use S31.43XA for initial encounter - BILLABLE CODE

  • Use S31.43XD for subsequent encounter - BILLABLE CODE

  • Use S31.43XS for sequela - BILLABLE CODE

  • S31.44 for Puncture wound with foreign body of vagina and vulva - NON-BILLABLE CODE

  • Use S31.44XA for initial encounter - BILLABLE CODE

  • Use S31.44XD for subsequent encounter - BILLABLE CODE

  • Use S31.44XS for sequela - BILLABLE CODE

  • S31.45 for Open bite of vagina and vulva - NON-BILLABLE CODE

  • Use S31.45XA for initial encounter - BILLABLE CODE

  • Use S31.45XD for subsequent encounter - BILLABLE CODE

  • Use S31.45XS for sequela - BILLABLE CODE

Coding Guidelines

The appropriate 7th character is to be added to each code from block Open wound of abdomen, lower back, pelvis and external genitals (S31). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • injury to vagina and vulva during delivery O70 O71.4

Patient Education


Vaginal Diseases

Vaginal problems are some of the most common reasons women go to the doctor. They may have symptoms such as:

  • Itching
  • Burning
  • Pain
  • Abnormal bleeding
  • Discharge

One common problem is vaginitis, an inflammation of the vagina. Other problems that affect the vagina include sexually transmitted diseases, vaginal cancer, and vulvar cancer. Treatment of vaginal problems depends on the cause.


[Learn More in MedlinePlus]

Vulvar Disorders

The vulva is the external part of a woman's genitals. Some problems you can have with the vulvar area include:

  • Vaginitis or vulvovaginitis, swelling or infection of the vulva and vagina
  • Skin problems due to allergy
  • Vulvar cancer
  • Vulvodynia, or vulvar pain

Symptoms may include redness, itching, pain, or cracks in the skin. Treatment depends on the cause.


[Learn More in MedlinePlus]

Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include:

  • Animal bites
  • Bruises
  • Burns
  • Dislocations
  • Electrical injuries
  • Fractures (broken bones)
  • Sprains and strains

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.