Skip to main content

S30.873 vs S31.35XA

S30.873 (Other superficial bite of scrotum and testes) compared with S31.35XA (Open bite of scrotum and testes, initial encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

S30.873
Other superficial bite of scrotum and testes
S31.35XA
Open bite of scrotum and testes, initial encounter

Not coded here — these two are mutually exclusive.

“open bite of abdomen, lower back, pelvis and external genitals (S31.05, S31.15, S31.25, S31.35, S31.45, S31.55)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. S30.873 carries an Excludes1 note covering S31.35XA: “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

S30.873Other superficial bite of scrotum and testesS31.35XAOpen bite of scrotum and testes, initial encounter
Billing statusNon-billable headerBillable
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)
DefinitionOther superficial bite of scrotum and testes is a non-billable ICD-10-CM category code (S30.873).Open bite of scrotum and testes, initial encounter is a billable ICD-10-CM diagnosis code (S31.35A).
7th characterThe appropriate 7th character is to be added to each code from category S30The 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