2027 ICD-10-CM Diagnosis Code S31.609DUnspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, subsequent encounter

ICD-10-CM Codes›S00–T88›S30-S39›S31

ICD-10-CM S31.609D
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S31.609D is a billable ICD-10-CM diagnosis code for unspecified open wound of abdominal wall, unspecified quadrant with 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 2027 (October 1, 2026 through September 30, 2027) 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

ICD-10-CM Code
S31.609D
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, subsequent encounter
Short Description
Unsp opn wnd abd wall, unsp quadrant w penet perit cav, subs
Parent Code
S31.609
Unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS31Open wound of abdomen, lower back, pelvis and external genitals
This CodeS31.609DUnspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, subsequent encounter

Present on Admission (POA)Billing

S31.609D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bile duct injury with open wound into cavity
  • Capsular tear of spleen
  • Capsular tear without major disruption of parenchyma of spleen AND with open wound in abdominal cavity
  • Complete disruption of kidney parenchyma with open wound into cavity
  • Contusion of liver
  • Crushing injury of abdomen
  • Fallopian tube injury with open wound into cavity
  • Gunshot wound of abdomen region
  • Hematoma and contusion of liver
  • Hematoma AND contusion of liver with open wound into abdominal cavity
  • Hematoma of kidney
  • Hematoma of kidney without rupture of capsule AND with open wound into abdominal cavity
  • Hematoma of spleen with open wound into abdominal cavity
  • Hemorrhage of kidney
  • Injury of adrenal gland with open wound into abdominal cavity
  • Injury of ascending colon
  • Injury of ascending right colon with open wound into abdominal cavity
  • Injury of bile duct
  • Injury of colon with open wound into abdominal cavity
  • Injury of descending colon
  • Injury of descending left colon with open wound into abdominal cavity
  • Injury of duodenum with open wound into abdominal cavity
  • Injury of gallbladder with open wound into abdominal cavity
  • Injury of gastrointestinal tract with open wound into abdominal cavity
  • Injury of head of pancreas with open wound into abdominal cavity
  • Injury of intestine with open wound into abdominal cavity
  • Injury of kidney with open wound into abdominal cavity
  • Injury of liver with open wound into abdominal cavity
  • Injury of multiple intra-abdominal organs with open wound into abdominal cavity
  • Injury of multiple pelvic organs
  • Injury of multiple pelvic organs with open wound into cavity
  • Injury of multiple sites of colorectum with open wound into abdominal cavity
  • Injury of multiple sites of pancreas with open wound into abdominal cavity
  • Injury of ovary with open wound into abdominal cavity
  • Injury of prostate
  • Injury of prostate with open wound into abdominal cavity
  • Injury of seminal vesicle
  • Injury of seminal vesicle with open wound into abdominal cavity
  • Injury of sigmoid colon
  • Injury of sigmoid colon with open wound into abdominal cavity
  • Injury of small intestine with open wound into abdominal cavity
  • Injury of spermatic cord
  • Injury of spleen with open wound into abdominal cavity
  • Injury of stomach with open wound into abdominal cavity
  • Injury of transverse colon
  • Injury of transverse colon with open wound into abdominal cavity
  • Injury of ureter with open wound into abdominal cavity
  • Injury of urinary bladder and urethra
  • Injury of urinary bladder and urethra with open wound into abdominal cavity
  • Injury of uterus with open wound into abdominal cavity
  • Injury of vas deferens
  • Injury of vas deferens with open wound into abdominal cavity
  • Internal injury of abdominal organs with open wound into cavity
  • Kidney hematoma without rupture of capsule, with open wound into cavity
  • Laceration extending into parenchyma of spleen with open wound into abdominal cavity
  • Laceration of kidney
  • Laceration of kidney with open wound into abdominal cavity
  • Laceration of liver
  • Laceration of liver with open wound into abdominal cavity
  • Laceration of parenchyma of spleen
  • Laceration of spleen
  • Liver hematoma
  • Major laceration of liver with open wound into abdominal cavity
  • Massive parenchymal disruption of spleen with open wound into abdominal cavity
  • Minor laceration of liver with open wound into abdominal cavity
  • Moderate laceration of liver with open wound into abdominal cavity
  • Multiple injuries of digestive system
  • Multiple injuries of intestine
  • Multiple injuries of pelvis
  • Multiple injuries to colon or rectum with open wound into cavity
  • Multiple open fractures of pelvis with disruption of pelvic circle
  • Open injury of kidney
  • Open injury of kidney grade I
  • Open injury of kidney grade II
  • Open injury of kidney grade III
  • Open injury of kidney grade IV
  • Open injury of kidney grade V
  • Open injury of spleen
  • Open injury of urinary bladder
  • Open injury of uterus
  • Pancreas body injury with open wound into cavity
  • Pelvic organ injury with open wound into abdominal cavity
  • Penetrating wound of abdomen
  • Peritoneum injury with open wound into cavity
  • Retroperitoneum injury with open wound into cavity
  • Severe crushing injury of abdominal organs
  • Severe crushing injury of abdominal organs with open wound into cavity
  • Spleen injury with hematoma without rupture of capsule, with open wound into cavity
  • Splenic hematoma
  • Splenic hemorrhage
  • Stellate laceration of liver with open wound into abdominal cavity
  • Traumatic hemorrhage of liver
  • Traumatic injury of body of pancreas
  • Traumatic injury of head of pancreas
  • Traumatic retroperitoneal hematoma

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 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S31.609D: its own notes plus those printed at S31, block S30-S39, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • injuries to the abdominal wall
  • injuries to the anus
  • injuries to the buttock
  • injuries to the external genitalia
  • injuries to the flank
  • injuries to the groin

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From S31 Open wound of abdomen, lower back, pelvis and external genitals applies to 558 codes
  • traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From S31 Open wound of abdomen, lower back, pelvis and external genitals applies to 558 codes
From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From S31 Open wound of abdomen, lower back, pelvis and external genitals applies to 558 codes

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S31 Open wound of abdomen, lower back, pelvis and external genitals applies to 558 codes
  • The appropriate 7th character is to be added to each code from category S31
Values for category S31 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter this code
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S31.609D, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S31.609D: its condition is not part of those codes, and both may be reported when the patient has both.

  • S31.1 Open wound of abdominal wall without penetration into peritoneal cavity
    open wound of abdominal wall with penetration into peritoneal cavity (S31.6-) names S31.6-, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and S31.609D is one of the codes named.

  • S38.1 Crushing injury of abdomen, lower back, and pelvis
    open wound of abdominal wall (S31.-) names S31.-, which includes this code

Code Also 6

These codes say S31.609D may also be needed to fully describe the condition. The note gives no sequencing direction.

  • S33.1 Subluxation and dislocation of lumbar vertebra
    open wound of abdomen, lower back and pelvis (S31) names S31, which includes this code
  • S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
    open wound of abdomen, lower back and pelvis (S31.-) names S31.-, which includes this code
  • S35 Injury of blood vessels at abdomen, lower back and pelvis level
    any associated open wound (S31.-) names S31.-, which includes this code
  • S36 Injury of intra-abdominal organs
    any associated open wound (S31.-) names S31.-, which includes this code
  • S37 Injury of urinary and pelvic organs
    any associated open wound (S31.-) names S31.-, which includes this code
  • S39 Other and unspecified injuries of abdomen, lower back, pelvis and external genitals
    any associated open wound (S31.-) names S31.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ050
Open wounds of trunk, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S31.609D to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S31.609DOverview

Is S31.609D a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character D in S31.609D mean?

The final character D marks a subsequent encounter: use it for routine care while the unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity is healing, after active treatment has ended.

What MS-DRG does S31.609D group to?

When unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S31.609D 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 unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, subsequent encounter on inpatient claims. The code appears in the Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39) range of the CMS exempt list.

Can S31.609D be reported with a code from S38.2?

Not as a rule. The Excludes1 note at S31, which applies to S31.609D, lists "traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).