MCMedicalCodingSoftware
S01.159D

S01.159D: Open bite of unspecified eyelid and periocular area, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S01.159D is a billable, specific ICD-10-CM code for open bite of unspecified eyelid and periocular area, subsequent encounter. It is valid for submission on a claim.

Check S01.159D with the rest of the claim: free scrubber

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 inherited from the categories above S01.159D

A category’s note binds every code beneath it.

Written on S01.15: Open bite of eyelid and periocular area

  • superficial bite of eyelid and periocular area (S00.26, S00.27)

Written on S01: Open wound of head

  • open skull fracture (S02.- with 7th character B)

Excludes2 inherited from the categories above S01.159D

Not part of this code, but both may be coded when both are present.

Written on S01: Open wound of head

  • injury of eye and orbit (S05.-)
  • traumatic amputation of part of head (S08.-)

Other codes that can never be billed with S01.159D

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

S01.159D is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53058Billing and Coding: Home Health Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S01.159

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.