S11.85XS ICD-10-CM Code: Open bite of other specified 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S11.85XS 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
Inclusion Terms
Alternative terms the tabular list files under this code.
- Bite of other specified part of neck 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 specified part of neck (S10.87) Compare S11.85XS vs S10.87 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- open fracture of vertebra (S12.- with 7th character B) Compare S11.85XS vs S12 →
- burns and corrosions (T20-T32) Compare S11.85XS vs T20 →
- effects of foreign body in esophagus (T18.1) Compare S11.85XS vs T18.1 →
- effects of foreign body in larynx (T17.3) Compare S11.85XS vs T17.3 →
- effects of foreign body in pharynx (T17.2) Compare S11.85XS vs T17.2 →
- effects of foreign body in trachea (T17.4) Compare S11.85XS vs T17.4 →
- frostbite (T33-T34) Compare S11.85XS vs T33 →
- insect bite or sting, venomous (T63.4) Compare S11.85XS vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated:
- spinal cord injury (S14.0, S14.1-)
- wound infection
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
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 S11.85XS 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 Use Additional Code instructions
- S17 — Crushing injury of neck [Use Additional Code](via S11.-): “open wound of neck (S11.-)” · check together
- T71.16 — Asphyxiation due to hanging [Use Additional Code](via S11.-): “open wound of neck (S11.-)” · check together
Referenced by Code Also instructions
- S13.1 — Subluxation and dislocation of cervical vertebrae [Code Also](via S11.-): “open wound of neck (S11.-)” · check together
- S14 — Injury of nerves and spinal cord at neck level [Code Also](via S11.-): “open wound of neck (S11.-)” · check together
- S15 — Injury of blood vessels at neck level [Code Also](via S11.-): “any associated open wound (S11.-)” · check together
- S16 — Injury of muscle, fascia and tendon at neck level [Code Also](via S11.-): “any associated open wound (S11.-)” · 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)
- S11 — Open wound of neck [Sibling]
- S11.80XS — Unspecified open wound of other specified part of neck, sequela [Sibling]
- S11.81 — Laceration without foreign body of other specified part of neck [Sibling]
- S11.81XA — Laceration without foreign body of other specified part of neck, initial encounter [Sibling]
- S11.81XD — Laceration without foreign body of other specified part of neck, subsequent encounter [Sibling]
- S11.81XS — Laceration without foreign body of other specified part of neck, sequela [Sibling]
- S11.82 — Laceration with foreign body of other specified part of neck [Sibling]
- S11.82XA — Laceration with foreign body of other specified part of neck, initial 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 S11.85XS or its code family.
2 Use Additional Code instructions: S17 (via S11.-), T71.16 (via S11.-).
4 Code Also instructions: S13.1 (via S11.-), S14 (via S11.-), S15 (via S11.-), S16 (via S11.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S11.85XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S11.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S11.85XS in its code family, with their registry titles.
- S11.84XD — Puncture wound with foreign body of other specified part of neck, subsequent encounter
- S11.84XS — Puncture wound with foreign body of other specified part of neck, sequela
- S11.85 — Open bite of other specified part of neck
- S11.85XA — Open bite of other specified part of neck, initial encounter
- S11.85XD — Open bite of other specified part of neck, subsequent encounter
- S11.89 — Other open wound of other specified part of neck
- S11.89XA — Other open wound of other specified part of neck, initial encounter
- S11.89XD — Other open wound of other specified part of neck, subsequent encounter
- S11.89XS — Other open wound of other specified part of neck, sequela
- S11.9 — Open wound of unspecified part of neck