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S81.852 vs S81.859

S81.852 (Open bite, left lower leg) compared with S81.859 (Open bite, unspecified lower leg), from the official CMS tabular data. S81.852 and S81.859 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S81.852
Left
Open bite, left lower leg
S81.859
Unspecified
Open bite, unspecified lower leg

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. S81.852 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.

Side by side

S81.852Open bite, left lower legS81.859Open bite, unspecified lower leg
Billing statusNon-billable header

Report instead: S81.852A, S81.852D, S81.852S

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, left lower leg is a non-billable ICD-10-CM category code (S81.852).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

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