S11.25XS — Open bite of pharynx and cervical esophagus, sequela
S11.25XS is a billable, specific ICD-10-CM code for open bite of pharynx and cervical esophagus, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S11
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Bite of pharynx and cervical esophagus NOS
Risk adjustment
S11.25XS 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
S11.25XS is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S11.25. If S11.25XS is not quite right, the correct code is usually one of these.
Questions about S11.25XS
- Is S11.25XS a billable ICD-10-CM code?
- Yes. S11.25XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S11.25XS 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).