S21.95XA
S21.95XA: Open bite of unspecified part of thorax, initial encounter
Billable / specific codeICD-10-CM
S21.95XA is a billable, specific ICD-10-CM code for open bite of unspecified part of thorax, initial encounter. It is valid for submission on a claim.
Check S21.95XA 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 S21
- 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 thorax (S20.97)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S21.95XA is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52438Billing and Coding: Tetanus Immunization
Code history
Unchanged in every release from FY2024 to FY2027.