S00.5 — Superficial injury of lip and oral cavity
Is S00.5 billable?
No — S00.5 is a non-billable header code. S00.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 48 billable codes beneath S00.5.
Billable codes under this header
- S00.501AUnspecified superficial injury of lip, initial encounter
- S00.501DUnspecified superficial injury of lip, subsequent encounter
- S00.501SUnspecified superficial injury of lip, sequela
- S00.502AUnspecified superficial injury of oral cavity, initial encounter
- S00.502DUnspecified superficial injury of oral cavity, subsequent encounter
- S00.502SUnspecified superficial injury of oral cavity, sequela
- S00.511AAbrasion of lip, initial encounter
- S00.511DAbrasion of lip, subsequent encounter
- S00.511SAbrasion of lip, sequela
- S00.512AAbrasion of oral cavity, initial encounter
- S00.512DAbrasion of oral cavity, subsequent encounter
- S00.512SAbrasion of oral cavity, sequela
- S00.521ABlister (nonthermal) of lip, initial encounter
- S00.521DBlister (nonthermal) of lip, subsequent encounter
- S00.521SBlister (nonthermal) of lip, sequela
- S00.522ABlister (nonthermal) of oral cavity, initial encounter
- S00.522DBlister (nonthermal) of oral cavity, subsequent encounter
- S00.522SBlister (nonthermal) of oral cavity, sequela
- S00.531AContusion of lip, initial encounter
- S00.531DContusion of lip, subsequent encounter
- S00.531SContusion of lip, sequela
- S00.532AContusion of oral cavity, initial encounter
- S00.532DContusion of oral cavity, subsequent encounter
- S00.532SContusion of oral cavity, sequela
- S00.541AExternal constriction of lip, initial encounter
- S00.541DExternal constriction of lip, subsequent encounter
- S00.541SExternal constriction of lip, sequela
- S00.542AExternal constriction of oral cavity, initial encounter
- S00.542DExternal constriction of oral cavity, subsequent encounter
- S00.542SExternal constriction of oral cavity, sequela
- S00.551ASuperficial foreign body of lip, initial encounter
- S00.551DSuperficial foreign body of lip, subsequent encounter
- S00.551SSuperficial foreign body of lip, sequela
- S00.552ASuperficial foreign body of oral cavity, initial encounter
- S00.552DSuperficial foreign body of oral cavity, subsequent encounter
- S00.552SSuperficial foreign body of oral cavity, sequela
- S00.561AInsect bite (nonvenomous) of lip, initial encounter
- S00.561DInsect bite (nonvenomous) of lip, subsequent encounter
- S00.561SInsect bite (nonvenomous) of lip, sequela
- S00.562AInsect bite (nonvenomous) of oral cavity, initial encounter
- S00.562DInsect bite (nonvenomous) of oral cavity, subsequent encounter
- S00.562SInsect bite (nonvenomous) of oral cavity, sequela
- S00.571AOther superficial bite of lip, initial encounter
- S00.571DOther superficial bite of lip, subsequent encounter
- S00.571SOther superficial bite of lip, sequela
- S00.572AOther superficial bite of oral cavity, initial encounter
- S00.572DOther superficial bite of oral cavity, subsequent encounter
- S00.572SOther superficial bite of oral cavity, sequela
S00.5 at a glance
| Code | S00.5 |
|---|---|
| Description | Superficial injury of lip and oral cavity |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from S00
The conditions below can never be reported together with S00.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 19
Report an additional code alongside S00.5 to fully describe the condition. S00.5 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S00.5, but a patient may have both at the same time. When documentation supports it, S00.5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S00.5, but a patient may have both at the same time. When documentation supports it, S00.5 and the excluded code may both be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S00.5 is sequenced first depends on the reason for the encounter.
- for any associated infection
What codes fall under S00.5? (8)
- S00.50Unspecified superficial injury of lip and oral cavitynot billable
- S00.51Abrasion of lip and oral cavitynot billable
- S00.52Blister (nonthermal) of lip and oral cavitynot billable
- S00.53Contusion of lip and oral cavitynot billable
- S00.54External constriction of lip and oral cavitynot billable
- S00.55Superficial foreign body of lip and oral cavitynot billable
- S00.56Insect bite (nonvenomous) of lip and oral cavitynot billable
- S00.57Other superficial bite of lip and oral cavitynot billable
How long has S00.5 existed?
S00.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the S00 family? (7)
- S00.0Superficial injury of scalpnot billable
- S00.1Contusion of eyelid and periocular areanot billable
- S00.2Other and unspecified superficial injuries of eyelid and periocular areanot billable
- S00.3Superficial injury of nosenot billable
- S00.4Superficial injury of earnot billable
- S00.8Superficial injury of other parts of headnot billable
- S00.9Superficial injury of unspecified part of headnot billable