S01.542A
S01.542A: Puncture wound with foreign body of oral cavity, initial encounter
Billable / specific codeICD-10-CM
S01.542A is a billable, specific ICD-10-CM code for puncture wound with foreign body of oral cavity, initial encounter. It is valid for submission on a claim.
Check S01.542A 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 S01.542A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S01.542A
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S01.542A
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
S01.542A is named in 11 Medicare coverage policies: 11 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
- A53065Billing and Coding: Outpatient Physical Therapy
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Code history
Unchanged in every release from FY2024 to FY2027.