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S10.96XS ICD-10-CM Code: Insect bite of unspecified part of neck, sequela

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 604 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC (MDC 09)
  • MS-DRG 605 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC (MDC 09)

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

Insect bite of unspecified part of neck, sequela is a billable ICD-10-CM diagnosis code (S10.96S).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S10.96XS in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Frequently Compared Codes

The official Excludes notes on S10.96XS 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.

Contextual Map

Every relationship of S10.96XS 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]
  • S10-S19 — Injuries to the neck [Hierarchy]

Referenced by Excludes2 notes

  • S27 — Injury of other and unspecified intrathoracic organs [Excludes2](via S10.-): “injury of cervical esophagus (S10-S19)” · check together

Clinical classification (CCSR)

  • INJ073 — Injury, sequela [CCSR]

Potential MS-DRG

  • DRG 604 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC [MS-DRG]: “TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC (MDC 09)”
  • DRG 605 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC [MS-DRG]: “TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC (MDC 09)”

MDC crossing · procedures (7376)

  • MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast [MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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.”
  • 0315090 — Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 031509W — Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 03150A0 — Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 03150AW — Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 03150J0 — Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • and 7371 more

Nearest codes (40)

  • S10 — Superficial injury of neck [Sibling]
  • S10.86 — Insect bite of other specified part of neck [Sibling]
  • S10.86XA — Insect bite of other specified part of neck, initial encounter [Sibling]
  • S10.86XD — Insect bite of other specified part of neck, subsequent encounter [Sibling]
  • S10.86XS — Insect bite of other specified part of neck, sequela [Sibling]
  • S10.87 — Other superficial bite of other specified part of neck [Sibling]
  • S10.87XA — Other superficial bite of other specified part of neck, initial encounter [Sibling]
  • S10.87XD — Other superficial bite of other specified part of neck, subsequent encounter [Sibling]
  • and 32 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ073 — Injury, sequela (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

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 604 (MDC 09), DRG 605 (MDC 09).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name S10.96XS or its code family.

1 Excludes2 notes: S27 (via S10.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S10.96XS require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S10.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S10.96XS in its code family, with their registry titles.

  • S10.95 — Superficial foreign body of unspecified part of neck
  • S10.95XA — Superficial foreign body of unspecified part of neck, initial encounter
  • S10.95XD — Superficial foreign body of unspecified part of neck, subsequent encounter
  • S10.95XS — Superficial foreign body of unspecified part of neck, sequela
  • S10.96 — Insect bite of unspecified part of neck
  • S10.96XA — Insect bite of unspecified part of neck, initial encounter
  • S10.96XD — Insect bite of unspecified part of neck, subsequent encounter
  • S10.97 — Other superficial bite of unspecified part of neck
  • S10.97XA — Other superficial bite of unspecified part of neck, initial encounter
  • S10.97XD — Other superficial bite of unspecified part of neck, subsequent encounter

View all codes in the S10 family