2026 ICD-10-CM Diagnosis Code S31.60AAUnspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity, initial encounter
S31.60AA is a billable ICD-10-CM diagnosis code for unspecified open wound of abdominal wall, unspecified flank with 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 393 through 395, 963 through 965. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for S31.60AA.
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 S31.60AA was added to the ICD-10-CM code set for FY 2026, effective October 1, 2025.
Replacement S31.60AA replaces the following previously assigned code(s):
- S31.609A - Unsp opn wnd abd wall, unsp quadrant w penet perit cav, init
Questions About S31.60AAOverview
Is S31.60AA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report unspecified open wound of abdominal wall, unspecified flank with 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 S31.60AA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for unspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity, such as an emergency visit or first evaluation.
What MS-DRG does S31.60AA group to?
When unspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, 963, 964, 965, with relative weights from 0.6490 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
