S31.632A: Puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
S31.632A, puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 16 HCPCS Level II codes, including G0329 (Electromagnetic therapy, to one or more areas for chronic…), G0281 (Electrical stimulation, (unattended), to one or more…), G0008 (Administration of influenza virus vaccine). The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with S31.632A as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G0008 | Administration of influenza virus vaccine | Carrier judgment | — | 1 |
| G0009 | Administration of pneumococcal vaccine | Carrier judgment | — | 1 |
| G0010 | Administration of hepatitis b vaccine | Carrier judgment | — | 1 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | Special coverage instructions apply | — | 1 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | Special coverage instructions apply | — | 1 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | Special coverage instructions apply | — | 1 |
| Q2034 | Influenza virus vaccine, split virus, for intramuscular use (agriflu) | Special coverage instructions apply | — | 1 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | Special coverage instructions apply | — | 1 |
| Q2039 | Influenza virus vaccine, not otherwise specified | Special coverage instructions apply | — | 1 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0159 | Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G2168 | Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| L1972 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, off-the shelf | Carrier judgment | — | 1 |
Medicare policy articles listing S31.632A
- A55909: Billing and Coding: Wound Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L35125, L37166, L37228
- A54767: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines (Palmetto GBA (MAC - Part A, MAC - Part B); 9 Level II codes)
- A53058: Billing and Coding: Home Health Physical Therapy (Palmetto GBA (HHH MAC); 6 Level II codes). LCD with the same title: L34564
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other S31 diagnoses (Open wound of abdomen, lower back, pelvis and external genitals)
- S31.630A — Puncture wound without foreign body of abdominal wall, right upper…
- S31.631A — Puncture wound without foreign body of abdominal wall, left upper…
- S31.633A — Puncture wound without foreign body of abdominal wall, right lower…
- S31.634A — Puncture wound without foreign body of abdominal wall, left lower…
- S31.635A — Puncture wound without foreign body of abdominal wall, periumbilic…
- S31.636A — Puncture wound of abdominal wall without foreign body, right flank…
- S31.637A — Puncture wound of abdominal wall without foreign body, left flank…
- S31.63AA — Puncture wound of abdominal wall without foreign body, unspecified…
- S31.606A — Unspecified open wound of abdominal wall, right flank with…
- S31.607A — Unspecified open wound of abdominal wall, left flank with…
- S31.60AA — Unspecified open wound of abdominal wall, unspecified flank with…
- S31.610A — Laceration without foreign body of abdominal wall, right upper…
- S31.611A — Laceration without foreign body of abdominal wall, left upper…
- S31.612A — Laceration without foreign body of abdominal wall, epigastric region…
- S31.613A — Laceration without foreign body of abdominal wall, right lower…
- S31.614A — Laceration without foreign body of abdominal wall, left lower…
- S31.615A — Laceration without foreign body of abdominal wall, periumbilic…
- S31.616A — Laceration without foreign body of abdominal wall, right flank with…
- S31.617A — Laceration without foreign body of abdominal wall, left flank with…
- S31.61AA — Laceration without foreign body of abdominal wall, unspecified flank…
- S31.620A — Laceration with foreign body of abdominal wall, right upper quadrant…
- S31.621A — Laceration with foreign body of abdominal wall, left upper quadrant…
- S31.622A — Laceration with foreign body of abdominal wall, epigastric region…
- S31.623A — Laceration with foreign body of abdominal wall, right lower quadrant…
- S31.624A — Laceration with foreign body of abdominal wall, left lower quadrant…
- S31.625A — Laceration with foreign body of abdominal wall, periumbilic region…
- S31.626A — Laceration with foreign body of abdominal wall, right flank with…
- S31.627A — Laceration with foreign body of abdominal wall, left flank with…
- S31.62AA — Laceration with foreign body of abdominal wall, unspecified flank…
- S31.640A — Puncture wound with foreign body of abdominal wall, right upper…
Frequently asked questions
Does Medicare cover S31.632A (Puncture wound without foreign body of abdominal wall…)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list S31.632A as a covered diagnosis for 16 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 S31.632A?
The Level II codes from the policies most specific to this diagnosis are G0329 (Electromagnetic therapy, to one or more areas for chronic…, 2 articles); G0281 (Electrical stimulation, (unattended), to one or more…, 1 article); G0008 (Administration of influenza virus vaccine, 1 article); G0009 (Administration of pneumococcal vaccine, 1 article); G0010 (Administration of hepatitis b vaccine, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list S31.632A?
A55909 (Billing and Coding: Wound Care); A54767 (Billing and Coding: Medicare Preventive Coverage for Certain Vaccines); A53058 (Billing and Coding: Home Health Physical Therapy).
What is ICD-10-CM code S31.632A?
S31.632A is the ICD-10-CM code for puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter, in category S31 (Open wound of abdomen, lower back, pelvis and external genitals), chapter 19: Injury, poisoning and other consequences of external causes.
Next steps
- Run a reimbursement report for a device billed under G0329
- Watch G0329 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0329
Compiled by Caduvo from public CMS (Medicare) records, ICD-10-CM FY2026, HCPCS release October 2026, 2026 fee schedule (non-rural state fees). Not reviewed or endorsed by CMS. Not billing or legal advice. Report an error. Data and corrections policy.
Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup