S00.5

S00.5: Superficial injury of lip and oral cavity

Non-billable headerICD-10-CM

S00.5 is a non-billable header ICD-10-CM code for superficial injury of lip and oral cavity. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S00

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S00.5

A category’s note binds every code beneath it.

Written on S00: Superficial injury of head

diffuse cerebral contusion (S06.2-)
focal cerebral contusion (S06.3-)
injury of eye and orbit (S05.-)
open wound of head (S01.-)

Other codes that can never be billed with S00.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

S01.551Open bite of lip
S01.551AOpen bite of lip, initial encounter
S01.551DOpen bite of lip, subsequent encounter
S01.551SOpen bite of lip, sequela
S01.552Open bite of oral cavity
S01.552AOpen bite of oral cavity, initial encounter
S01.552DOpen bite of oral cavity, subsequent encounter
S01.552SOpen bite of oral cavity, sequela

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S00.5

8 child codes. Green means billable.