S01.409D — Unspecified open wound of unspecified cheek and temporomandibular area, subsequent encounter
Is S01.409D billable?
Yes, but S01.409D is an unspecified code. S01.409D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S01.409D is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S01.409D — the more specific alternatives are listed below.
More specific alternatives
- S01.411DLaceration without foreign body of right cheek and temporomandibular area, subsequent encounter
- S01.421DLaceration with foreign body of right cheek and temporomandibular area, subsequent encounter
- S01.431DPuncture wound without foreign body of right cheek and temporomandibular area, subsequent encounter
- S01.441DPuncture wound with foreign body of right cheek and temporomandibular area, subsequent encounter
- S01.451DOpen bite of right cheek and temporomandibular area, subsequent encounter
S01.409D at a glance
| Code | S01.409D |
|---|---|
| Description | Unspecified open wound of unspecified cheek and temporomandibular area, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in S01.409D?
In S01.409D, the 7th character D means subsequent encounter. The 7th character is required for S01.409D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S01.409D group to?
S01.409D sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is S01.409D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S01.40, the nearest indexed parent of S01.409D. Use them to find the family, then select the specific code.
- Wound, open › cheek
Excludes1 — never code together — inherited from S01
The conditions below can never be reported together with S01.409D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- open skull fracture (S02.- with 7th character B)
Use additional code — inherited from Chapter 19
Report an additional code alongside S01.409D to fully describe the condition. S01.409D 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 S01.409D, but a patient may have both at the same time. When documentation supports it, S01.409D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S01.409D, but a patient may have both at the same time. When documentation supports it, S01.409D 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)
Excludes2 — not included here — inherited from S01
The conditions below are not part of S01.409D, but a patient may have both at the same time. When documentation supports it, S01.409D and the excluded code may both be reported.
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S01.409D is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S01
Two codes may be needed to describe the condition fully. Whether S01.409D is sequenced first depends on the reason for the encounter.
How long has S01.409D existed?
S01.409D 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.