S00.27 vs S01.15
S00.27 (Other superficial bite of eyelid and periocular area) compared with S01.15 (Open bite of eyelid and periocular area), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S00.27 carries an Excludes1 note covering S01.15: “open bite of eyelid and periocular area (S01.15)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. S00.27 carries an Excludes1 note covering S01.15: “open wound of head (S01.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. S01.15 carries an Excludes1 note covering S00.27: “superficial bite of eyelid and periocular area (S00.26, S00.27)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S00.27Other superficial bite of eyelid and periocular area | S01.15Open bite of eyelid and periocular area | |
|---|---|---|
| Billing status | Non-billable header Report instead: S00.271A, S00.271D, S00.271S, S00.272A, S00.272D | Non-billable header Report instead: S01.151A, S01.151D, S01.151S, S01.152A, S01.152D |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Other superficial bite of eyelid and periocular area is a non-billable ICD-10-CM category code (S00.27). | Open bite of eyelid and periocular area is a non-billable ICD-10-CM category code (S01.15). |
| 7th character | The appropriate 7th character is to be added to each code from category S00 | The appropriate 7th character is to be added to each code from category S01 |
| Includes | injuries of ear injuries of eye injuries of face [any part] injuries of gum | injuries of ear injuries of eye injuries of face [any part] injuries of gum |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources