S11.85 vs S12
S11.85 (Open bite of other specified part of neck) compared with S12 (Fracture of cervical vertebra and other parts of neck), 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. S11.85 carries an Excludes2 note covering S12: “open fracture of vertebra (S12.- with 7th character B)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S11.85Open bite of other specified part of neck | S12Fracture of cervical vertebra and other parts of neck | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: S12.000A, S12.000B, S12.000D, S12.000G, S12.000K |
| 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 | Open bite of other specified part of neck is a non-billable ICD-10-CM category code (S11.85). | Fracture of cervical vertebra and other parts of neck is a non-billable ICD-10-CM category code (S12). |
| 7th character | The appropriate 7th character is to be added to each code from category S11 | The appropriate 7th character is to be added to all codes from subcategories S12.0-S12.6 |
| Includes | injuries of nape injuries of supraclavicular region injuries of throat Bite of other specified part of neck NOS | fracture of cervical neural arch fracture of cervical spine fracture of cervical spinous process fracture of cervical transverse process |
| Code first | — | any associated cervical spinal cord injury (S14.0, S14.1-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources