Valid for Submission
S31.030A is a billable diagnosis code used to specify a medical diagnosis of puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter. The code S31.030A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S31.030A might also be used to specify conditions or terms like gunshot wound of lower back, gunshot wound of pelvis, needle stick injury of pelvic region, pellet wound of pelvic region, pellet wound of trunk , puncture wound of back, etc.
S31.030A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
The appropriate 7th character is to be added to each code from block Opn wnd 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
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Gunshot wound of lower back
- Gunshot wound of pelvis
- Needle stick injury of pelvic region
- Pellet wound of pelvic region
- Pellet wound of trunk
- Puncture wound of back
- Puncture wound of lower back without foreign body
- Puncture wound of pelvic region
- Puncture wound of pelvic region
- Stab wound of back
- Stab wound of lower back
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|604||TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC||09||1.4913|
|605||TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC||09||0.9092|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S31.030A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S31.030A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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
- Electrical injuries
- Fractures (broken bones)
- Sprains and strains
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