Is S30.870 a billable ICD-10-CM code?

No. S30.870 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S30.870 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).

S30.870

S30.870 — Other superficial bite of lower back and pelvis

Non-billable headerICD-10-CM

S30.870 is a non-billable header ICD-10-CM code for other superficial bite of lower back and pelvis. 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 S30.870

These codes carry an Excludes1 note pointing at S30.870. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S30.870 alone.

S31.05Open bite of lower back and pelvis
S31.805Open bite of unspecified buttock
S31.805AOpen bite of unspecified buttock, initial encounter
S31.805DOpen bite of unspecified buttock, subsequent encounter
S31.805SOpen bite of unspecified buttock, sequela
S31.815Open bite of right buttock
S31.815AOpen bite of right buttock, initial encounter
S31.815DOpen bite of right buttock, subsequent encounter

Risk adjustment

S30.870 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 S30.870 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 S30.870.

Bite›buttock›superficial NEC
Bite›pelvis›superficial NEC
Bite›back›lower›superficial NEC
Injury›superficial NEC›back›lower›superficial›bite NEC

Code to one of these instead S30.870

3 child codes. Green means billable.

Related codes at this level

Codes that share S30.87. If S30.870 is not quite right, the correct code is usually one of these.

Questions about S30.870

Is S30.870 a billable ICD-10-CM code?: No. S30.870 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S30.870 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).