S31.25XD
S31.25XD — Open bite of penis, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
S31.25XD is a billable, specific ICD-10-CM code for open bite of penis, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S31
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S31.25XD 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
S31.25XD is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
Related codes at this level
Codes that share S31.25. If S31.25XD is not quite right, the correct code is usually one of these.
Questions about S31.25XD
- Is S31.25XD a billable ICD-10-CM code?
- Yes. S31.25XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S31.25XD 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 S31.25XD?
- S31.25XD carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.