S31.031A Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S31.031 with 7th character A (initial encounter).

Applies from S31 Open wound of abdomen, lower back, pelvis and external genitals

Excludes1 (never code together)

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

Excludes2 (not included here)

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

Code also

• any associated:
• spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)
• wound infection

7th character note

• The appropriate 7th character is to be added to each code from category S31

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Code annotations containing back-references to S31.031A

Back-references to S31

• Code Also: S33.1 Subluxation and dislocation of lumbar vertebra ("open wound of abdomen, lower back and pelvis (S31)")
• Code Also: S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level ("open wound of abdomen, lower back and pelvis (S31.-)")
• Code Also: S35 Injury of blood vessels at abdomen, lower back and pelvis level ("any associated open wound (S31.-)")
• Code Also: S36 Injury of intra-abdominal organs ("any associated open wound (S31.-)")
• Code Also: S37 Injury of urinary and pelvic organs ("any associated open wound (S31.-)")
• Use Additional: S38.1 Crushing injury of abdomen, lower back, and pelvis ("open wound of abdominal wall (S31.-)")
• Code Also: S39 Other and unspecified injuries of abdomen, lower back, pelvis and external genitals ("any associated open wound (S31.-)")

Diagnosis Index entries for S31.031A

• Perforation, perforated (nontraumatic) (of) › pelvic › floor › with › penetration into retroperitoneal space
• Puncture › back › lower › with › penetration into retroperitoneal space

Nearby codes

• S31.030 Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum
• S31.030A Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter
• S31.030D Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum, subsequent encounter
• S31.030S Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum, sequela
• S31.031 Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum
• S31.031A Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter (this code)
• S31.031D Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, subsequent encounter
• S31.031S Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, sequela
• S31.04 Puncture wound with foreign body of lower back and pelvis
• S31.040 Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum
• S31.040A Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter