S30.872 vs S31.25XA
S30.872 (Other superficial bite of penis) compared with S31.25XA (Open bite of penis, initial encounter), 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. S30.872 carries an Excludes1 note covering S31.25XA: “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).
No — do not report together. S31.25XA carries an Excludes1 note covering S30.872: “superficial bite of penis (S30.862, S30.872)”
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
| S30.872Other superficial bite of penis | S31.25XAOpen bite of penis, initial encounter | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| 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 penis is a non-billable ICD-10-CM category code (S30.872). | Open bite of penis, initial encounter is a billable ICD-10-CM diagnosis code (S31.25A). |
| 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