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S11.85XS

S11.85XS: Open bite of other specified part of neck, sequela

Billable / specific codeICD-10-CMPOA exempt

S11.85XS is a billable, specific ICD-10-CM code for open bite of other specified part of neck, sequela. It is valid for submission on a claim.

Check S11.85XS with the rest of the claim: free scrubber

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

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 S11.85XS

A category’s note binds every code beneath it.

Written on S11.85: Open bite of other specified part of neck

  • superficial bite of other specified part of neck (S10.87)

Excludes2 inherited from the categories above S11.85XS

Not part of this code, but both may be coded when both are present.

Written on S11: Open wound of neck

  • open fracture of vertebra (S12.- with 7th character B)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S11.85XS is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S11.85

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.