S71.152A — Open bite, left thigh, initial encounter
S71.152A is a billable, specific ICD-10-CM code for open bite, left thigh, 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 S71
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above S71.152A
These are not written on S71.152A, but they bind it: a note on a category applies to every code beneath it. Billing S71.152A with anything listed here is a denial.
Excludes2 inherited from the categories above S71.152A
Also inherited, and the opposite of Excludes1: these conditions are not part of S71.152A, but a patient can have both, so you may code both.
Risk adjustment
S71.152A 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
S71.152A is named in 14 Medicare coverage policies — 12 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52438Billing and Coding: Tetanus Immunization
- A53058Billing and Coding: Home Health Physical Therapy
Code history
S71.152A 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 S71.152. If S71.152A is not quite right, the correct code is usually one of these.
Questions about S71.152A
- Is S71.152A a billable ICD-10-CM code?
- Yes. S71.152A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S71.152A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).
- What cannot be coded together with S71.152A?
- S71.152A 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 S71.152A (S71.15, S71) and apply to it just the same.