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S81.851 vs S81.859

S81.851 (Open bite, right lower leg) compared with S81.859 (Open bite, unspecified lower leg), from the official CMS tabular data. S81.851 and S81.859 code the same condition on opposite sides. MedCoder-derived

Can these codes be reported together?

Review

Laterality relationship

S81.851
Right
Open bite, right lower leg
S81.859
Unspecified
Open bite, unspecified lower leg

What we found

Same condition, opposite side.S81.851 and S81.859 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.

What to review

Report the side the documentation names. Where the code set provides a bilateral code and both sides are documented, use it instead of the pair.

Guide: Laterality codingCheck these on a claim

Why it matters

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 / rule

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

Side by side

S81.851Open bite, right lower legS81.859Open bite, unspecified lower leg
Billing statusNon-billable header

Report instead: S81.851A, S81.851D, S81.851S

Non-billable header

Report instead: S81.859A, S81.859D, S81.859S

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, right lower leg is a non-billable ICD-10-CM category code (S81.851).Open bite, unspecified lower leg is a non-billable ICD-10-CM category code (S81.859).
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
Excludes1
superficial bite of lower leg (S80.86-, S80.87-)
open fracture of knee and lower leg (S82.-)
traumatic amputation of lower leg (S88.-)
superficial bite of lower leg (S80.86-, S80.87-)
open fracture of knee and lower leg (S82.-)
traumatic amputation of lower leg (S88.-)
Excludes2
open wound of ankle and foot (S91.-)
burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
insect bite or sting, venomous (T63.4)
open wound of ankle and foot (S91.-)
burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
insect bite or sting, venomous (T63.4)
Code also
any associated wound infection
any associated wound infection

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources