S00.56
S00.56 — Insect bite (nonvenomous) of lip and oral cavity
Non-billable headerICD-10-CM
S00.56 is a non-billable header ICD-10-CM code for insect bite (nonvenomous) 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
Risk adjustment
S00.56 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S00.56
2 child codes. Green means billable.
Related codes at this level
Codes that share S00.5. If S00.56 is not quite right, the correct code is usually one of these.
- S00.50Unspecified superficial injury of lip and oral cavity
- S00.51Abrasion of lip and oral cavity
- S00.52Blister (nonthermal) of lip and oral cavity
- S00.53Contusion of lip and oral cavity
- S00.54External constriction of lip and oral cavity
- S00.55Superficial foreign body of lip and oral cavity
- S00.57Other superficial bite of lip and oral cavity
Questions about S00.56
- Is S00.56 a billable ICD-10-CM code?
- No. S00.56 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S00.56 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).