Is S01.95 a billable ICD-10-CM code?

No. S01.95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S01.95 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).

What cannot be coded together with S01.95?

S01.95 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

S01.95

S01.95 — Open bite of unspecified part of head

Non-billable headerICD-10-CM

S01.95 is a non-billable header ICD-10-CM code for open bite of unspecified part of head. 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

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

superficial bite of head NOS (S00.97)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Bite of head NOS

Other codes that can never be billed with S01.95

These codes carry an Excludes1 note pointing at S01.95. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S01.95 alone.

S00.97Other superficial bite of unspecified part of head
S00.97XAOther superficial bite of unspecified part of head, initial encounter
S00.97XDOther superficial bite of unspecified part of head, subsequent encounter
S00.97XSOther superficial bite of unspecified part of head, sequela

Risk adjustment

S01.95 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.

How S01.95 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S01.95.

Bite›head

Code to one of these instead S01.95

3 child codes. Green means billable.

Related codes at this level

Codes that share S01.9. If S01.95 is not quite right, the correct code is usually one of these.

Questions about S01.95

Is S01.95 a billable ICD-10-CM code?: No. S01.95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S01.95 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).
What cannot be coded together with S01.95?: S01.95 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.