Is S30.863 a billable ICD-10-CM code?

No. S30.863 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S30.863 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

S30.863

S30.863 — Insect bite (nonvenomous) of scrotum and testes

Non-billable headerICD-10-CM

S30.863 is a non-billable header ICD-10-CM code for insect bite (nonvenomous) of scrotum and testes. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S30

A: initial encounter
D: subsequent encounter
S: sequela

Other codes that can never be billed with S30.863

These codes carry an Excludes1 note pointing at S30.863. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S30.863 alone.

S31.35Open bite of scrotum and testes
S31.35XAOpen bite of scrotum and testes, initial encounter
S31.35XDOpen bite of scrotum and testes, subsequent encounter
S31.35XSOpen bite of scrotum and testes, sequela

Risk adjustment

S30.863 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.

How S30.863 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S30.863.

Bite›scrotum›superficial NEC›insect
Bite›testis›superficial NEC›insect

Code to one of these instead S30.863

3 child codes. Green means billable.

Related codes at this level

Codes that share S30.86. If S30.863 is not quite right, the correct code is usually one of these.

Questions about S30.863

Is S30.863 a billable ICD-10-CM code?: No. S30.863 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S30.863 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).