S31.60AD — Unspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity, subsequent encounter
S31.60AD is a billable, specific ICD-10-CM code for unspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
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.
- Unspecified open wound of abdominal wall of flank NOS, with penetration into peritoneal cavity
Risk adjustment
S31.60AD 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
S31.60AD is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Code history
What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.
- addedFY2024-FY2026
Unspecified open wound of abdominal wall, unspecified flank with penetration into peritoneal cavity, subsequent encounter
Related codes at this level
Codes that share S31.60A. If S31.60AD is not quite right, the correct code is usually one of these.
Questions about S31.60AD
- Is S31.60AD a billable ICD-10-CM code?
- Yes. S31.60AD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S31.60AD 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).