S00.86XD vs T15
S00.86XD (Insect bite (nonvenomous) of other part of head, subsequent encounter) compared with T15 (Foreign body on external eye), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S00.86XD carries an Excludes2 note covering T15: “effects of foreign body on external eye (T15.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S00.86XDInsect bite (nonvenomous) of other part of head, subsequent encounter | T15Foreign body on external eye | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: T15.00XA, T15.00XD, T15.00XS, T15.01XA, T15.01XD |
| 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 | Insect bite (nonvenomous) of other part of head, subsequent encounter is a billable ICD-10-CM diagnosis code (S00.86D). | Foreign body on external eye is a non-billable ICD-10-CM category code (T15). |
| 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 T15 |
| Includes | injuries of ear injuries of eye injuries of face [any part] injuries of gum | — |
| Use additional code | — | code, if known, for foreign body entering into or through a natural orifice (W44.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources