S11.85XA: Open bite of other specified part of neck, initial encounter
S11.85XA is a billable, specific ICD-10-CM code for open bite of other specified part of neck, initial encounter. It is valid for submission on a claim.
Check S11.85XA with the rest of the claim: free scrubber7th character "A": initial encounter
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.
- superficial bite of other specified part of neck (S10.87)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Bite of other specified part of neck NOS
Excludes1 inherited from the categories above S11.85XA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S11.85XA
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S11.85XA is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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Code history
Unchanged in every release from FY2024 to FY2027.