2026 ICD-10-CM Diagnosis Code S31.155AOpen bite of abdominal wall, periumbilic region without penetration into peritoneal cavity, initial encounter
S31.155A is a billable ICD-10-CM diagnosis code for open bite of abdominal wall, periumbilic region 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of trunk, initial encounter.
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.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Animal Bites
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Convert S31.155A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S31.155AOverview
Is S31.155A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report open bite of abdominal wall, periumbilic region 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 S31.155A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for open bite of abdominal wall, periumbilic region without penetration into peritoneal cavity, such as an emergency visit or first evaluation.
What MS-DRG does S31.155A group to?
When open bite of abdominal wall, periumbilic region 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.
What is the ICD-9 equivalent of S31.155A?
Under the General Equivalence Mappings, open bite of abdominal wall, periumbilic region without penetration into peritoneal cavity, initial encounter converts to ICD-9-CM 879.2 (opn wnd anterior abdomen). 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.
