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S11.95XD ICD-10-CM Code: Open bite of unspecified part of neck, 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.

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

Open bite of unspecified part of neck, subsequent encounter is a billable ICD-10-CM diagnosis code (S11.95D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S11.95XD 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 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).

Excludes2 — Not Included Here

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

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated:
  • spinal cord injury (S14.0, S14.1-)
  • wound infection

Frequently Compared Codes

The official Excludes notes on S11.95XD 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

Official ICD-10-CM tabular notes on other codes that name S11.95XD 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.-).

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.

Contextual Map

Every relationship of S11.95XD 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)

  • 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)

  • S11 — Open wound of neck [Sibling]
  • S11.83 — Puncture wound without foreign body of other specified part of neck [Sibling]
  • S11.83XA — Puncture wound without foreign body of other specified part of neck, initial encounter [Sibling]
  • S11.83XD — Puncture wound without foreign body of other specified part of neck, subsequent encounter [Sibling]
  • S11.83XS — Puncture wound without foreign body of other specified part of neck, sequela [Sibling]
  • S11.84 — Puncture wound with foreign body of other specified part of neck [Sibling]
  • S11.84XA — Puncture wound with foreign body of other specified part of neck, initial encounter [Sibling]
  • S11.84XD — Puncture wound with foreign body of other specified part of neck, subsequent encounter [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S11.95XD 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 S11.95XD in its code family, with their registry titles.

  • S11.93 — Puncture wound without foreign body of unspecified part of neck
  • S11.93XA — Puncture wound without foreign body of unspecified part of neck, initial encounter
  • S11.93XD — Puncture wound without foreign body of unspecified part of neck, subsequent encounter
  • S11.93XS — Puncture wound without foreign body of unspecified part of neck, sequela
  • S11.94 — Puncture wound with foreign body of unspecified part of neck
  • S11.94XA — Puncture wound with foreign body of unspecified part of neck, initial encounter
  • S11.94XD — Puncture wound with foreign body of unspecified part of neck, subsequent encounter
  • S11.94XS — Puncture wound with foreign body of unspecified part of neck, sequela
  • S11.95 — Open bite of unspecified part of neck
  • S11.95XA — Open bite of unspecified part of neck, initial encounter

View all codes in the S11 family