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S51.85 vs S58

S51.85 (Open bite of forearm) compared with S58 (Traumatic amputation of elbow and forearm), 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. S51.85 carries an Excludes1 note covering S58: “traumatic amputation of elbow and forearm (S58.-)”

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

S51.85Open bite of forearmS58Traumatic amputation of elbow and forearm
Billing statusNon-billable header

Report instead: S51.851A, S51.851D, S51.851S, S51.852A, S51.852D

Non-billable header

Report instead: S58.011A, S58.011D, S58.011S, S58.012A, S58.012D

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)
DefinitionOpen bite of forearm is a non-billable ICD-10-CM category code (S51.85).Traumatic amputation of elbow and forearm is a non-billable ICD-10-CM category code (S58).
7th characterThe appropriate 7th character is to be added to each code from category S51The appropriate 7th character is to be added to each code from category S58
Includes
Bite of forearm NOS
An amputation not identified as partial or complete should be coded to complete

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources