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Compare/S00.37 vs S01.25

S00.37 vs S01.25

S00.37 (Other superficial bite of nose) compared with S01.25 (Open bite of nose), 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. S00.37 carries an Excludes1 note covering S01.25: “open bite of nose (S01.25)”

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. S00.37 carries an Excludes1 note covering S01.25: “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. S01.25 carries an Excludes1 note covering S00.37: “superficial bite of nose (S00.36, S00.37)”

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

S00.37Other superficial bite of noseS01.25Open bite of nose
Billing statusNon-billable header

Report instead: S00.37XA, S00.37XD, S00.37XS

Non-billable header

Report instead: S01.25XA, S01.25XD, S01.25XS

ClassificationS00-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)
DefinitionOther superficial bite of nose is a non-billable ICD-10-CM category code (S00.37).Open bite of nose is a non-billable ICD-10-CM category code (S01.25).
7th characterThe appropriate 7th character is to be added to each code from category S00The 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