ICDcodes.org
FY2027

S31 vs S38.3

S31 and S38.3 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.

The official note, declared on S31
traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)
S31

Open wound of abdomen, lower back, pelvis and external genitals

Not billable
Chapter 19
Injury, poisoning and certain other consequences of external causes
Section
S30-S39
S38.3

Transection (partial) of abdomen

Not billable
Chapter 19
Injury, poisoning and certain other consequences of external causes
Section
S30-S39
Indexed under
  • Transection › abdomen

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027