S11.2
S11.2 — Open wound of pharynx and cervical esophagus
Non-billable headerICD-10-CM
S11.2 is a non-billable header ICD-10-CM code for open wound of pharynx and cervical esophagus. 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
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- open wound of esophagus NOS (S27.8-)
Risk adjustment
S11.2 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 S11.2
6 child codes. Green means billable.
- S11.20Unspecified open wound of pharynx and cervical esophagus
- S11.21Laceration without foreign body of pharynx and cervical esophagus
- S11.22Laceration with foreign body of pharynx and cervical esophagus
- S11.23Puncture wound without foreign body of pharynx and cervical esophagus
- S11.24Puncture wound with foreign body of pharynx and cervical esophagus
- S11.25Open bite of pharynx and cervical esophagus
Related codes at this level
Codes that share S11. If S11.2 is not quite right, the correct code is usually one of these.
Questions about S11.2
- Is S11.2 a billable ICD-10-CM code?
- No. S11.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S11.2 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the neck (S10-S19).
- What cannot be coded together with S11.2?
- S11.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.