S01.159A: Open bite of unspecified eyelid and periocular area, initial encounter
S01.159A is a billable, specific ICD-10-CM code for open bite of unspecified eyelid and periocular area, initial encounter. It is valid for submission on a claim.
Check S01.159A with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S01
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above S01.159A
A category’s note binds every code beneath it.
Written on S01.15: Open bite of eyelid and periocular area
Excludes2 inherited from the categories above S01.159A
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S01.159A
Their own Excludes1 notes name this code, so the conflict is not listed above.
- S00Superficial injury of head
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S01.159A is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52438Billing and Coding: Tetanus Immunization
- A53058Billing and Coding: Home Health Physical Therapy
- A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
Code history
Unchanged in every release from FY2024 to FY2027.