S31.44 ICD-10-CM Code: Puncture wound with foreign body of vagina and vulva
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S31.44 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).
- injury to vagina and vulva during delivery (O70.-, O71.4) Compare S31.44 vs O70 →
- traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3) Compare S31.44 vs S38.2 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- open wound of hip (S71.00-S71.02) Compare S31.44 vs S71.00 →
- open fracture of pelvis (S32.1--S32.9 with 7th character B) Compare S31.44 vs S32.1 →
- burns and corrosions (T20-T32) Compare S31.44 vs T20 →
- effects of foreign body in anus and rectum (T18.5) Compare S31.44 vs T18.5 →
- effects of foreign body in genitourinary tract (T19.-) Compare S31.44 vs T19 →
- effects of foreign body in stomach, small intestine and colon (T18.2-T18.4) Compare S31.44 vs T18.2 →
- frostbite (T33-T34) Compare S31.44 vs T33 →
- insect bite or sting, venomous (T63.4) Compare S31.44 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated:
- spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)
- wound infection
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: S31.44XA, S31.44XD, S31.44XS.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S31" Options: S31.44XA, S31.44XD, S31.44XS
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S31.44 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]
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
Index entries
- Injury, vagina, puncture, with foreign body[Index term]
- Injury, vulva, puncture, with foreign body[Index term]
- Puncture, perineum, female, with foreign body[Index term]
- Puncture, vagina, with foreign body[Index term]
- Puncture, vulva, with foreign body[Index term]
Nearest codes (40)
- S31 — Open wound of abdomen, lower back, pelvis and external genitals [Sibling]
- S31.35XA — Open bite of scrotum and testes, initial encounter [Sibling]
- S31.35XD — Open bite of scrotum and testes, subsequent encounter [Sibling]
- S31.35XS — Open bite of scrotum and testes, sequela [Sibling]
- S31.4 — Open wound of vagina and vulva [Sibling]
- S31.40 — Unspecified open wound of vagina and vulva [Sibling]
- S31.40XA — Unspecified open wound of vagina and vulva, initial encounter [Sibling]
- S31.40XD — Unspecified open wound of vagina and vulva, subsequent encounter [Sibling]
- and 32 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name S31.44 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.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S31.44 be billed directly?
No. S31.44 (Puncture wound with foreign body of vagina and vulva) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S31.44 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 S31.44 in its code family, with their registry titles.
- S31.42XS — Laceration with foreign body of vagina and vulva, sequela
- S31.43 — Puncture wound without foreign body of vagina and vulva
- S31.43XA — Puncture wound without foreign body of vagina and vulva, initial encounter
- S31.43XD — Puncture wound without foreign body of vagina and vulva, subsequent encounter
- S31.43XS — Puncture wound without foreign body of vagina and vulva, sequela
- S31.44XA — Puncture wound with foreign body of vagina and vulva, initial encounter
- S31.44XD — Puncture wound with foreign body of vagina and vulva, subsequent encounter
- S31.44XS — Puncture wound with foreign body of vagina and vulva, sequela
- S31.45 — Open bite of vagina and vulva
- S31.45XA — Open bite of vagina and vulva, initial encounter
Indexed Clinical Terms (5)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Injury, vagina, puncture, with foreign body
- Injury, vulva, puncture, with foreign body
- Puncture, perineum, female, with foreign body
- Puncture, vagina, with foreign body
- Puncture, vulva, with foreign body