S01.5
S01.5: Open wound of lip and oral cavity
Non-billable headerICD-10-CM
S01.5 is a non-billable header ICD-10-CM code for open wound 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 S01
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Excludes1 inherited from the categories above S01.5
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S01.5
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S01.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
- S00Superficial injury of head
- S00.571Other superficial bite of lip
- S00.571AOther superficial bite of lip, initial encounter
- S00.571DOther superficial bite of lip, subsequent encounter
- S00.571SOther superficial bite of lip, sequela
- S00.572Other superficial bite of oral cavity
- S00.572AOther superficial bite of oral cavity, initial encounter
- S00.572DOther superficial bite of oral cavity, subsequent encounter
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 S01.5
6 child codes. Green means billable.
- S01.50Unspecified open wound of lip and oral cavity
- S01.51Laceration of lip and oral cavity without foreign body
- S01.52Laceration of lip and oral cavity with foreign body
- S01.53Puncture wound of lip and oral cavity without foreign body
- S01.54Puncture wound of lip and oral cavity with foreign body
- S01.55Open bite of lip and oral cavity