ICDcodes.org
FY2027

S31.43XDPuncture wound without foreign body of vagina and vulva, subsequent encounter

Billable

Is S31.43XD billable?

Yes — S31.43XD is billable for FY2027. S31.43XD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S31.43XD may be submitted for encounters from October 1, 2026 through September 30, 2027.

S31.43XD at a glance

CodeS31.43XD
DescriptionPuncture wound without foreign body of vagina and vulva, subsequent encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "D"subsequent encounter

What does the 7th character "D" mean in S31.43XD?

In S31.43XD, the 7th character D means subsequent encounter. The 7th character is required for S31.43XD to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S31.43XD group to?

S31.43XD sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 949Aftercare with CC/MCCmedical
  • 950Aftercare without CC/MCCmedical

How is S31.43XD listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S31.43, the nearest indexed parent of S31.43XD. Use them to find the family, then select the specific code.

  • Puncturevagina
  • Puncturevulva
  • Injuryvaginapuncture
  • Injuryvulvapuncture
  • Punctureperineumfemale

Excludes1 — never code together — inherited from S31

The conditions below can never be reported together with S31.43XD on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)

Excludes1 — never code together — inherited from S31.4

The conditions below can never be reported together with S31.43XD on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • injury to vagina and vulva during delivery (O70.-, O71.4)

Use additional code — inherited from Chapter 19

Report an additional code alongside S31.43XD to fully describe the condition. S31.43XD is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S31.43XD, but a patient may have both at the same time. When documentation supports it, S31.43XD and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S30-S39

The conditions below are not part of S31.43XD, but a patient may have both at the same time. When documentation supports it, S31.43XD and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)

Excludes2 — not included here — inherited from S31

The conditions below are not part of S31.43XD, but a patient may have both at the same time. When documentation supports it, S31.43XD and the excluded code may both be reported.

  • open wound of hip (S71.00-S71.02)
  • open fracture of pelvis (S32.1--S32.9 with 7th character B)

Code also — inherited from S31

Two codes may be needed to describe the condition fully. Whether S31.43XD is sequenced first depends on the reason for the encounter.

How long has S31.43XD existed?

S31.43XD has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.