2026 ICD-10-CM Diagnosis Code S31.149DPuncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter
S31.149D is a billable ICD-10-CM diagnosis code for puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of trunk, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S31.149D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Fishing hook in abdomen
- Fishing hook in groin
- Fishing hook in perineum
- Fishing hook in trunk
- Open wound of inguinal region
- Pellet wound of groin
- Pellet wound of trunk
- Penetrating wound of abdomen
- Puncture wound of abdomen
- Puncture wound of abdomen with foreign body
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.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Foreign Bodies
If you've ever gotten a splinter or had sand in your eye, you've had experience with a foreign body. A foreign body is something that is stuck inside you but isn't supposed to be there. You may inhale or swallow a foreign body, or you may get one from an injury to almost any part of your body.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S31.149D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replaced This code was replaced in the FY 2026 code set by:
- S31.146D - Pnctr of abd wall with fb, r flank w/o penet perit cav, subs
- S31.146D - Pnctr of abd wall with fb, r flank w/o penet perit cav, subs
- S31.147D - Pnctr of abd wall with fb, l flank w/o penet perit cav, subs
- S31.147D - Pnctr of abd wall with fb, l flank w/o penet perit cav, subs
- S31.14AD - Pnctr abd wall with fb, unsp flank w/o penet perit cav, subs
- S31.14AD - Pnctr abd wall with fb, unsp flank w/o penet perit cav, subs
Questions About S31.149DOverview
Is S31.149D a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S31.149D mean?
The final character D marks a subsequent encounter: use it for routine care while the puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity is healing, after active treatment has ended.
What MS-DRG does S31.149D group to?
When puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S31.149D exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S31.149D?
Under the General Equivalence Mappings, puncture wound of abdominal wall with foreign body, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
