S30.87 vs S31.25
S30.87 (Other superficial bite of abdomen, lower back, pelvis and external genitals) compared with S31.25 (Open bite of penis), 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. S30.87 carries an Excludes1 note covering S31.25: “open bite of abdomen, lower back, pelvis and external genitals (S31.05, S31.15, S31.25, S31.35, S31.45, S31.55)”
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
| S30.87Other superficial bite of abdomen, lower back, pelvis and external genitals | S31.25Open bite of penis | |
|---|---|---|
| Billing status | Non-billable header Report instead: S30.870A, S30.870D, S30.870S, S30.871A, S30.871D | Non-billable header |
| 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 abdomen, lower back, pelvis and external genitals is a non-billable ICD-10-CM category code (S30.87). | Open bite of penis is a non-billable ICD-10-CM category code (S31.25). |
| 7th character | The appropriate 7th character is to be added to each code from category S30 | The appropriate 7th character is to be added to each code from category S31 |
| Includes | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources