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S31.41XA ICD-10-CM Code: Laceration without foreign body of vagina and vulva, initial encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)
  • MS-DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)
  • MS-DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)
  • MS-DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)
  • MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
  • MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
  • MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Laceration without foreign body of vagina and vulva, initial encounter is a billable ICD-10-CM diagnosis code (S31.41A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S31.41XA in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • 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

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

Frequently Compared Codes

The official Excludes notes on S31.41XA name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name S31.41XA or its code family.

1 Use Additional Code instructions: S38.1 (via S31.-).

5 Code Also instructions: S34 (via S31.-), S35 (via S31.-), S36 (via S31.-), S37 (via S31.-), S39 (via S31.-).

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 7 MS-DRGs: DRG 742 (MDC 13), DRG 743 (MDC 13), DRG 760 (MDC 13), DRG 761 (MDC 13), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ013 — Open wounds of trunk, initial encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Contextual Map

Every relationship of S31.41XA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S30-S39 — Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals [Hierarchy]

Referenced by Use Additional Code instructions

  • S38.1 — Crushing injury of abdomen, lower back, and pelvis [Use Additional Code](via S31.-): “open wound of abdominal wall (S31.-)” · check together

Referenced by Code Also instructions

  • S34 — Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level [Code Also](via S31.-): “open wound of abdomen, lower back and pelvis (S31.-)” · check together
  • S35 — Injury of blood vessels at abdomen, lower back and pelvis level [Code Also](via S31.-): “any associated open wound (S31.-)” · check together
  • S36 — Injury of intra-abdominal organs [Code Also](via S31.-): “any associated open wound (S31.-)” · check together
  • S37 — Injury of urinary and pelvic organs [Code Also](via S31.-): “any associated open wound (S31.-)” · check together
  • S39 — Other and unspecified injuries of abdomen, lower back, pelvis and external genitals [Code Also](via S31.-): “any associated open wound (S31.-)” · check together

Clinical classification (CCSR)

  • INJ013 — Open wounds of trunk, initial encounter [CCSR]

Potential MS-DRG

  • DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC [MS-DRG]: “UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)”
  • DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC [MS-DRG]: “UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)”
  • DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC [MS-DRG]: “MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)”
  • DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC [MS-DRG]: “MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)”
  • DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”
  • DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”
  • DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)”

MDC crossing · procedures (25189)

  • MDC 13 — Diseases and Disorders of the Female Reproductive System [MDC crossing]: “Diseases and Disorders of the Female Reproductive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • MDC 24 — Multiple Significant Trauma [MDC crossing]: “Multiple Significant Trauma — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Open Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • and 25184 more

Nearest codes (40)

  • S31 — Open wound of abdomen, lower back, pelvis and external genitals [Sibling]
  • S31.32XD — Laceration with foreign body of scrotum and testes, subsequent encounter [Sibling]
  • S31.32XS — Laceration with foreign body of scrotum and testes, sequela [Sibling]
  • S31.33 — Puncture wound without foreign body of scrotum and testes [Sibling]
  • S31.33XA — Puncture wound without foreign body of scrotum and testes, initial encounter [Sibling]
  • S31.33XD — Puncture wound without foreign body of scrotum and testes, subsequent encounter [Sibling]
  • S31.33XS — Puncture wound without foreign body of scrotum and testes, sequela [Sibling]
  • S31.34 — Puncture wound with foreign body of scrotum and testes [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S31.41XA require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S31.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S31.41XA in its code family, with their registry titles.

  • S31.40 — Unspecified open wound of vagina and vulva
  • S31.40XA — Unspecified open wound of vagina and vulva, initial encounter
  • S31.40XD — Unspecified open wound of vagina and vulva, subsequent encounter
  • S31.40XS — Unspecified open wound of vagina and vulva, sequela
  • S31.41 — Laceration without foreign body of vagina and vulva
  • S31.41XD — Laceration without foreign body of vagina and vulva, subsequent encounter
  • S31.41XS — Laceration without foreign body of vagina and vulva, sequela
  • S31.42 — Laceration with foreign body of vagina and vulva
  • S31.42XA — Laceration with foreign body of vagina and vulva, initial encounter
  • S31.42XD — Laceration with foreign body of vagina and vulva, subsequent encounter

View all codes in the S31 family