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S31.501 ICD-10-CM Code: Unspecified open wound of unspecified external genital organs, male

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

S31.501

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Unspecified open wound of unspecified external genital organs, male

Unspecified open wound of unspecified external genital organs, male

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S31.5Open wound of unspecified external genital organs
S31.50Unspecified open wound of unspecified external genital organs
S31.501Unspecified open wound of unspecified external genital organs, male

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S31.501 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S31.501 in this effective period.

Related Child Codes

Official
S31.501AUnspecified open wound of unspecified external genital organs, male, initial encounter
S31.501DUnspecified open wound of unspecified external genital organs, male, subsequent encounter
S31.501SUnspecified open wound of unspecified external genital organs, male, sequela

Includes

Official

ICD-10-CM does not list Includes notes for S31.501 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S31.501 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S31.501 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S31.501 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S31.501 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S31.501 is the ICD-10-CM diagnosis code for unspecified open wound of unspecified external genital organs, male. S31.501 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (s30-s39).

Header codes like S31.501 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S31.501's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S31.501 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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