S01.85XD ICD-10-CM Code: Open bite of other part of head, subsequent encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S01.85XD in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Inclusion Terms
Alternative terms the tabular list files under this code.
- Bite of other part of head NOS
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- superficial bite of other part of head (S00.87) Compare S01.85XD vs S00.87 →
- open skull fracture (S02.- with 7th character B) Compare S01.85XD vs S02 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- injury of eye and orbit (S05.-) Compare S01.85XD vs S05 →
- traumatic amputation of part of head (S08.-) Compare S01.85XD vs S08 →
- burns and corrosions (T20-T32) Compare S01.85XD vs T20 →
- effects of foreign body in ear (T16) Compare S01.85XD vs T16 →
- effects of foreign body in larynx (T17.3) Compare S01.85XD vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S01.85XD vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S01.85XD vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S01.85XD vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S01.85XD vs T15 →
- frostbite (T33-T34) Compare S01.85XD vs T33 →
- insect bite or sting, venomous (T63.4) Compare S01.85XD vs T63.4 →
Frequently Compared Codes
The official Excludes notes on S01.85XD name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Other codes that name S01.85XD or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
1 Excludes1 notes: S00 (via S01.-).
3 Code Also instructions: S04 (via S01.-), S06 (via S01.-), S09.1 (via S01.-).
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ048 — Open wounds of head and neck, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S01.85XA — Open bite of other part of head, initial encounter Compare S01.85XD vs S01.85XA →, S01.85XS — Open bite of other part of head, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Open wounds of head and neck, subsequent encounter).
S01.532D — Puncture wound without foreign body of oral cavity, subsequent encounter, S01.541D — Puncture wound with foreign body of lip, subsequent encounter, S01.542D — Puncture wound with foreign body of oral cavity, subsequent encounter, S01.551D — Open bite of lip, subsequent encounter, S01.552D — Open bite of oral cavity, subsequent encounter, S01.80XD — Unspecified open wound of other part of head, subsequent encounter, S01.81XD — Laceration without foreign body of other part of head, subsequent encounter, S01.82XD — Laceration with foreign body of other part of head, subsequent encounter, S01.83XD — Puncture wound without foreign body of other part of head, subsequent encounter, S01.84XD — Puncture wound with foreign body of other part of head, subsequent encounter, S01.90XD — Unspecified open wound of unspecified part of head, subsequent encounter, S01.91XD — Laceration without foreign body of unspecified part of head, subsequent encounter, S01.92XD — Laceration with foreign body of unspecified part of head, subsequent encounter, S01.93XD — Puncture wound without foreign body of unspecified part of head, subsequent encounter, S01.94XD — Puncture wound with foreign body of unspecified part of head, subsequent encounter, S01.95XD — Open bite of unspecified part of head, subsequent encounter, S05.20XD — Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, subsequent encounter, S05.21XD — Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, subsequent encounter, S05.22XD — Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, subsequent encounter, S05.30XD — Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, subsequent encounter, +136 more
Contextual Map
Every relationship of S01.85XD in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S00-S09 — Injuries to the head [Hierarchy]
Referenced by Excludes1 notes
- S00 — Superficial injury of head [Excludes1](via S01.-): “open wound of head (S01.-)” · check together
Referenced by Code Also instructions
- S04 — Injury of cranial nerve [Code Also](via S01.-): “open wound of head (S01.-)” · check together
- S06 — Intracranial injury [Code Also](via S01.-): “open wound of head (S01.-)” · check together
- S09.1 — Injury of muscle and tendon of head [Code Also](via S01.-): “any associated open wound (S01.-)” · check together
Clinical classification (CCSR)
- INJ048 — Open wounds of head and neck, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing · procedures (1235)
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- and 1230 more
Nearest codes (40)
- S01 — Open wound of head [Sibling]
- S01.80XD — Unspecified open wound of other part of head, subsequent encounter [Sibling]
- S01.80XS — Unspecified open wound of other part of head, sequela [Sibling]
- S01.81 — Laceration without foreign body of other part of head [Sibling]
- S01.81XA — Laceration without foreign body of other part of head, initial encounter [Sibling]
- S01.81XD — Laceration without foreign body of other part of head, subsequent encounter [Sibling]
- S01.81XS — Laceration without foreign body of other part of head, sequela [Sibling]
- S01.82 — Laceration with foreign body of other part of head [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S01.85XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S01.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S01.85XD in its code family, with their registry titles.
- S01.84XA — Puncture wound with foreign body of other part of head, initial encounter
- S01.84XD — Puncture wound with foreign body of other part of head, subsequent encounter
- S01.84XS — Puncture wound with foreign body of other part of head, sequela
- S01.85 — Open bite of other part of head
- S01.85XA — Open bite of other part of head, initial encounter
- S01.85XS — Open bite of other part of head, sequela
- S01.9 — Open wound of unspecified part of head
- S01.90 — Unspecified open wound of unspecified part of head
- S01.90XA — Unspecified open wound of unspecified part of head, initial encounter
- S01.90XD — Unspecified open wound of unspecified part of head, subsequent encounter