ICDcodes.org
FY2027

S31.616ALaceration without foreign body of abdominal wall, right flank with penetration into peritoneal cavity, initial encounter

BillableMCC

Is S31.616A billable?

Yes — S31.616A is billable for FY2027. S31.616A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S31.616A may be submitted for encounters from October 1, 2026 through September 30, 2027.

S31.616A at a glance

CodeS31.616A
DescriptionLaceration without foreign body of abdominal wall, right flank with penetration into peritoneal cavity, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in S31.616A?

In S31.616A, the 7th character A means initial encounter. The 7th character is required for S31.616A to be a valid, complete code.

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

Which MS-DRGs does S31.616A group to?

S31.616A sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 393Other Digestive System Diagnoses with MCCmedical
  • 394Other Digestive System Diagnoses with CCmedical
  • 395Other Digestive System Diagnoses without CC/MCCmedical

As a secondary diagnosis, S31.616A is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is S31.616A listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S31.616, the nearest indexed parent of S31.616A. Use them to find the family, then select the specific code.

  • Lacerationflankrightwithpenetration into peritoneal cavity

Excludes1 — never code together — inherited from S31

The conditions below can never be reported together with S31.616A 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)

Use additional code — inherited from Chapter 19

Report an additional code alongside S31.616A to fully describe the condition. S31.616A 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 S31.616A, but a patient may have both at the same time. When documentation supports it, S31.616A 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 S31.616A, but a patient may have both at the same time. When documentation supports it, S31.616A 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 S31.616A, but a patient may have both at the same time. When documentation supports it, S31.616A 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 S31.616A is sequenced first depends on the reason for the encounter.

How long has S31.616A existed?

S31.616A first appears in FY2026.

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