S11.95XA: Open bite of unspecified part of neck, initial encounter
S11.95XA is a billable, specific ICD-10-CM code for open bite of unspecified part of neck, initial encounter. It is valid for submission on a claim.
Check S11.95XA 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 neck (S10.97)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Bite of neck NOS
Excludes1 inherited from the categories above S11.95XA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S11.95XA
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
S11.95XA is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52438Billing and Coding: Tetanus Immunization
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A57554Billing and Coding: Immune Globulins
Code history
Unchanged in every release from FY2024 to FY2027.