2026 ICD-10-CM Diagnosis Code S31.11AALaceration without foreign body of abdominal wall, unspecified flank without penetration into peritoneal cavity, initial encounter
S31.11AA is a billable ICD-10-CM diagnosis code for laceration without foreign body of abdominal wall, unspecified flank without penetration into peritoneal cavity, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605, 963 through 965.
Code Identity
Code Classification
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Code History & ChangesHistory
New Code S31.11AA was added to the ICD-10-CM code set for FY 2026, effective October 1, 2025.
Replacement S31.11AA replaces the following previously assigned code(s):
- S31.119A - Lac w/o fb of abd wall, unsp q w/o penet perit cav, init
Questions About S31.11AAOverview
Is S31.11AA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report laceration without foreign body of abdominal wall, unspecified flank without penetration into peritoneal cavity, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S31.11AA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for laceration without foreign body of abdominal wall, unspecified flank without penetration into peritoneal cavity, such as an emergency visit or first evaluation.
What MS-DRG does S31.11AA group to?
When laceration without foreign body of abdominal wall, unspecified flank without penetration into peritoneal cavity, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, 963, 964, 965, with relative weights from 0.9160 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
