S01.55 — Open bite of lip and oral cavity
S01.55 is a non-billable header ICD-10-CM code for open bite 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
Other codes that can never be billed with S01.55
These codes carry an Excludes1 note pointing at S01.55. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S01.55 alone.
- 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
- S00.572SOther superficial bite of oral cavity, sequela
Risk adjustment
S01.55 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.
Code to one of these instead S01.55
2 child codes. Green means billable.
Related codes at this level
Codes that share S01.5. If S01.55 is not quite right, the correct code is usually one of these.
Questions about S01.55
- Is S01.55 a billable ICD-10-CM code?
- No. S01.55 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S01.55 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).