S31.020S — Laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, sequela
S31.020S is a billable, specific ICD-10-CM code for laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S31
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Laceration with foreign body of lower back and pelvis NOS
Risk adjustment
S31.020S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S31.020S is named in 9 Medicare coverage policies — 8 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
S31.020S has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S31.020. If S31.020S is not quite right, the correct code is usually one of these.
Questions about S31.020S
- Is S31.020S a billable ICD-10-CM code?
- Yes. S31.020S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S31.020S sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).