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ICD-10-CM 2027 diagnosis code

S31.656DOpen bite of abdominal wall, right flank with penetration into peritoneal cavity, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

S31.656D is a valid, billable ICD-10-CM code for open bite of abdominal wall, right flank with penetration into peritoneal cavity, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Open bite of abd wall, r flank with penet perit cav, subs

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S31.656D

S31.656D is the ICD-10-CM diagnosis code for open bite of abdominal wall, right flank with penetration into peritoneal cavity, subsequent encounter. It belongs to category S31 (open wound of abdomen, lower back, pelvis and external genitals), block S30-S39 (injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2026, effective October 1, 2025.

7th character

Dsubsequent encounter

CC/MCC status for this injury by encounter: MCC for A; Neither CC nor MCC for D, S.

Other encounter types for S31.656:

Notes that apply from higher levels

Instructions written at a parent level also apply to S31.656D.

› From S31.65 Open bite of abdominal wall with penetration into peritoneal cavity
Excludes1
› From S31 Open wound of abdomen, lower back, pelvis and external genitals
Excludes1
  • traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)
Excludes2
Code also

Broader instructions also apply from S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about S31.656D

Is S31.656D billable?

Yes. S31.656D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of S31.656D mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can S31.656D be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S31.656D as a principal diagnosis.

Is S31.656D a CC or MCC?

No. S31.656D is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S31.656D group to?

S31.656D is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.