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S81.052A vs S81.059A

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

Relationship

Review

Laterality relationship

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

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. S81.052A and S81.059A 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

S81.052AOpen bite, left knee, initial encounterS81.059AOpen bite, unspecified knee, initial encounter
Billing statusBillableBillable
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, initial encounter is a billable ICD-10-CM diagnosis code (S81.052A).Open bite, unspecified knee, initial encounter is a billable ICD-10-CM diagnosis code (S81.059A).
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