S01.95XD — Open bite of unspecified part of head, subsequent encounter
S01.95XD is a billable, specific ICD-10-CM code for open bite of unspecified part of head, subsequent encounter. It is valid for submission on a claim.
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 — 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
Risk adjustment
S01.95XD 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.
Medicare coverage
S01.95XD is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Related codes at this level
Codes that share S01.95. If S01.95XD is not quite right, the correct code is usually one of these.
Questions about S01.95XD
- Is S01.95XD a billable ICD-10-CM code?
- Yes. S01.95XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S01.95XD 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 S01.95XD?
- S01.95XD carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.