Is S21.95XS a billable ICD-10-CM code?

Yes. S21.95XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S21.95XS sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).

What cannot be coded together with S21.95XS?

S21.95XS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

S21.95XS

S21.95XS — Open bite of unspecified part of thorax, sequela

Billable / specific codeICD-10-CMPOA exempt

S21.95XS is a billable, specific ICD-10-CM code for open bite of unspecified part of thorax, 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 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

S21.95XS 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.

Related codes at this level

Codes that share S21.95. If S21.95XS is not quite right, the correct code is usually one of these.

Questions about S21.95XS

Is S21.95XS a billable ICD-10-CM code?: Yes. S21.95XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S21.95XS sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).
What cannot be coded together with S21.95XS?: S21.95XS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.