Is S01.05XD a billable ICD-10-CM code?

Yes. S01.05XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S01.05XD 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).

What cannot be coded together with S01.05XD?

S01.05XD carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

S01.05XD

S01.05XD — Open bite of scalp, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S01.05XD is a billable, specific ICD-10-CM code for open bite of scalp, subsequent encounter. It is valid for submission on a claim.

7th character "D" — subsequent encounter

The appropriate 7th character is to be added to each code from category S01

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

superficial bite of scalp (S00.06, S00.07-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Bite of scalp NOS

Risk adjustment

S01.05XD 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.

Medicare coverage

S01.05XD is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
A56658Billing and Coding: Cosmetic and Reconstructive Surgery

Related codes at this level

Codes that share S01.05. If S01.05XD is not quite right, the correct code is usually one of these.

Questions about S01.05XD

Is S01.05XD a billable ICD-10-CM code?: Yes. S01.05XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S01.05XD 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).
What cannot be coded together with S01.05XD?: S01.05XD carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.