Is S30.875A a billable ICD-10-CM code?

Yes. S30.875A is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S30.875A 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).

What cannot be coded together with S30.875A?

S30.875A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S30.875A (S30.87) and apply to it just the same.

S30.875A

S30.875A — Other superficial bite of unspecified external genital organs, male, initial encounter

Billable / specific codeICD-10-CM

S30.875A is a billable, specific ICD-10-CM code for other superficial bite of unspecified external genital organs, male, initial encounter. It is valid for submission on a claim.

7th character "A" — initial encounter

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

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S30.875A

These are not written on S30.875A, but they bind it: a note on a category applies to every code beneath it. Billing S30.875A with anything listed here is a denial.

Written on S30.87 — Other superficial bite of abdomen, lower back, pelvis and external genitals

open bite of abdomen, lower back, pelvis and external genitals (S31.05, S31.15, S31.25, S31.35, S31.45, S31.55)

Excludes2 inherited from the categories above S30.875A

Also inherited, and the opposite of Excludes1: these conditions are not part of S30.875A, but a patient can have both, so you may code both.

Written on S30 — Superficial injury of abdomen, lower back, pelvis and external genitals

superficial injury of hip (S70.-)

Risk adjustment

S30.875A 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.

Medicare coverage

S30.875A is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52438Billing and Coding: Tetanus Immunization

Code history

S30.875A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S30.875. If S30.875A is not quite right, the correct code is usually one of these.

Questions about S30.875A

Is S30.875A a billable ICD-10-CM code?: Yes. S30.875A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S30.875A 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).
What cannot be coded together with S30.875A?: S30.875A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S30.875A (S30.87) and apply to it just the same.