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S81.052 vs S81.059

S81.052 (Open bite, left knee) compared with S81.059 (Open bite, unspecified knee), from the official CMS tabular data. S81.052 and S81.059 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S81.052
Left
Open bite, left knee
S81.059
Unspecified
Open bite, unspecified knee

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S81.052 and S81.059 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S81.052Open bite, left kneeS81.059Open bite, unspecified knee
Billing statusNon-billable header

Report instead: S81.052A, S81.052D, S81.052S

Non-billable header

Report instead: S81.059A, S81.059D, S81.059S

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, left knee is a non-billable ICD-10-CM category code (S81.052).Open bite, unspecified knee is a non-billable ICD-10-CM category code (S81.059).
7th characterThe appropriate 7th character is to be added to each code from category S81The appropriate 7th character is to be added to each code from category S81

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