2026 ICD-10-CM Diagnosis Code S31.620ALaceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter

ICD-10-CM Codes›S00–T88›S30-S39›S31

ICD-10-CM S31.620A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S31.620A is a billable ICD-10-CM diagnosis code for laceration with foreign body of abdominal wall, right upper quadrant 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of trunk, initial encounter.

Code Identity

ICD-10-CM Code
S31.620A
Billable Status
Yes — Valid for Submission
Code Describes
Laceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
Short Description
Lac w fb of abd wall, right upper q w penet perit cav, init
Parent Code
S31.620
Laceration with foreign body of abdominal wall, right upper 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 CodeS31.620ALaceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter

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.

CCSR INJ013
Open wounds of trunk, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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 S31.620A to ICD-9-CMHistory

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

ICD-9-CM
868.13 Peritoneum injury-open
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S31.620AOverview

Is S31.620A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report laceration with foreign body of abdominal wall, right upper quadrant 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 S31.620A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for laceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, such as an emergency visit or first evaluation.

What MS-DRG does S31.620A group to?

When laceration with foreign body of abdominal wall, right upper quadrant 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.

What is the ICD-9 equivalent of S31.620A?

Under the General Equivalence Mappings, laceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter converts to ICD-9-CM 868.13 (peritoneum injury-open). 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.