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S00.462D vs S00.469D

S00.462D (Insect bite (nonvenomous) of left ear, subsequent encounter) compared with S00.469D (Insect bite (nonvenomous) of unspecified ear, subsequent encounter), from the official CMS tabular data. S00.462D and S00.469D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S00.462D
Left
Insect bite (nonvenomous) of left ear, subsequent encounter
S00.469D
Unspecified
Insect bite (nonvenomous) of unspecified ear, subsequent encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S00.462D and S00.469D name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S00.462DInsect bite (nonvenomous) of left ear, subsequent encounterS00.469DInsect bite (nonvenomous) of unspecified ear, subsequent encounter
Billing statusBillableBillable
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)
DefinitionInsect bite (nonvenomous) of left ear, subsequent encounter is a billable ICD-10-CM diagnosis code (S00.462D).Insect bite (nonvenomous) of unspecified ear, subsequent encounter is a billable ICD-10-CM diagnosis code (S00.469D).
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 S00
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