S11
S11: Open wound of neck
Non-billable headerICD-10-CM
S11 is a non-billable header ICD-10-CM code for open wound of neck. 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 S11
- 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.
- open fracture of vertebra (S12.- with 7th character B)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
Other codes that can never be billed with S11
Their own Excludes1 notes name this code, so the conflict is not listed above.
- S10.17Other superficial bite of throat
- S10.17XAOther superficial bite of throat, initial encounter
- S10.17XDOther superficial bite of throat, subsequent encounter
- S10.17XSOther superficial bite of throat, sequela
- S10.87Other superficial bite of other specified part of neck
- S10.87XAOther superficial bite of other specified part of neck, initial encounter
- S10.87XDOther superficial bite of other specified part of neck, subsequent encounter
- S10.87XSOther superficial bite of other specified part of neck, sequela
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 S11
5 child codes. Green means billable.