Pnctr of abd wall w/o fb, r upr q w/o penet perit cav, subs

Puncture wound of abdominal wall without foreign body, right upper quadrant without penetration into peritoneal cavity, subsequent encounter

📋Clinical Description

This code describes a puncture injury to the right upper abdominal wall that does not involve a foreign object and has not breached the peritoneal cavity. It specifically applies to follow-up care for such an injury.

🎯When to Use

This code is appropriate for encounters where a patient is receiving ongoing treatment, wound care, or follow-up for a previously sustained puncture wound to the right upper abdomen. This includes visits for dressing changes, wound checks, or monitoring for complications after the initial injury has been addressed.

💡Coding Tips

Ensure the documentation specifies the right upper quadrant and explicitly states "without penetration into peritoneal cavity."
This "D" encounter code is used after the initial treatment of the injury.
Verify there is no mention of a foreign body associated with the puncture wound.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S31.130Pnctr of abd wall w/o fb, right upper q w/o penet perit cav

S31.130D(current)

Crosswalks

V58.89ApproxICD-9

Same Category

S31Opn wnd abdomen, lower back, pelvis and external genitals S31.0Open wound of lower back and pelvis S31.00Unspecified open wound of lower back and pelvis S31.000Unsp opn wnd lower back and pelvis w/o penet retroperiton S31.000A