Is S30.864 a billable ICD-10-CM code?

No. S30.864 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S30.864 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).

S30.864

S30.864 — Insect bite (nonvenomous) of vagina and vulva

Non-billable headerICD-10-CM

S30.864 is a non-billable header ICD-10-CM code for insect bite (nonvenomous) of vagina and vulva. 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 S30.864

These codes carry an Excludes1 note pointing at S30.864. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S30.864 alone.

S31.45Open bite of vagina and vulva
S31.45XAOpen bite of vagina and vulva, initial encounter
S31.45XDOpen bite of vagina and vulva, subsequent encounter
S31.45XSOpen bite of vagina and vulva, sequela

Risk adjustment

S30.864 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 S30.864 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 S30.864.

Injury›vagina›insect bite
Injury›vulva›insect bite
Bite›vulva›superficial NEC›insect
Injury›vagina›bite›insect
Injury›vulva›bite›insect

Code to one of these instead S30.864

3 child codes. Green means billable.

Related codes at this level

Codes that share S30.86. If S30.864 is not quite right, the correct code is usually one of these.

Questions about S30.864

Is S30.864 a billable ICD-10-CM code?: No. S30.864 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S30.864 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).