S01.5 — Open wound of lip and oral cavity
Is S01.5 billable?
No — S01.5 is a non-billable header code. S01.5 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 36 billable codes beneath S01.5.
Billable codes under this header
- S01.501AUnspecified open wound of lip, initial encounter
- S01.501DUnspecified open wound of lip, subsequent encounter
- S01.501SUnspecified open wound of lip, sequela
- S01.502AUnspecified open wound of oral cavity, initial encounter
- S01.502DUnspecified open wound of oral cavity, subsequent encounter
- S01.502SUnspecified open wound of oral cavity, sequela
- S01.511ALaceration without foreign body of lip, initial encounter
- S01.511DLaceration without foreign body of lip, subsequent encounter
- S01.511SLaceration without foreign body of lip, sequela
- S01.512ALaceration without foreign body of oral cavity, initial encounter
- S01.512DLaceration without foreign body of oral cavity, subsequent encounter
- S01.512SLaceration without foreign body of oral cavity, sequela
- S01.521ALaceration with foreign body of lip, initial encounter
- S01.521DLaceration with foreign body of lip, subsequent encounter
- S01.521SLaceration with foreign body of lip, sequela
- S01.522ALaceration with foreign body of oral cavity, initial encounter
- S01.522DLaceration with foreign body of oral cavity, subsequent encounter
- S01.522SLaceration with foreign body of oral cavity, sequela
- S01.531APuncture wound without foreign body of lip, initial encounter
- S01.531DPuncture wound without foreign body of lip, subsequent encounter
- S01.531SPuncture wound without foreign body of lip, sequela
- S01.532APuncture wound without foreign body of oral cavity, initial encounter
- S01.532DPuncture wound without foreign body of oral cavity, subsequent encounter
- S01.532SPuncture wound without foreign body of oral cavity, sequela
- S01.541APuncture wound with foreign body of lip, initial encounter
- S01.541DPuncture wound with foreign body of lip, subsequent encounter
- S01.541SPuncture wound with foreign body of lip, sequela
- S01.542APuncture wound with foreign body of oral cavity, initial encounter
- S01.542DPuncture wound with foreign body of oral cavity, subsequent encounter
- S01.542SPuncture wound with foreign body of oral cavity, sequela
- S01.551AOpen bite of lip, initial encounter
- S01.551DOpen bite of lip, subsequent encounter
- S01.551SOpen bite of lip, sequela
- S01.552AOpen bite of oral cavity, initial encounter
- S01.552DOpen bite of oral cavity, subsequent encounter
- S01.552SOpen bite of oral cavity, sequela
S01.5 at a glance
| Code | S01.5 |
|---|---|
| Description | Open wound of lip and oral cavity |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here
The conditions below are not part of S01.5, but a patient may have both at the same time. When documentation supports it, S01.5 and the excluded code may both be reported.
Excludes1 — never code together — inherited from S01
The conditions below can never be reported together with S01.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- open skull fracture (S02.- with 7th character B)
Use additional code — inherited from Chapter 19
Report an additional code alongside S01.5 to fully describe the condition. S01.5 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 S01.5, but a patient may have both at the same time. When documentation supports it, S01.5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S01.5, but a patient may have both at the same time. When documentation supports it, S01.5 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)
Excludes2 — not included here — inherited from S01
The conditions below are not part of S01.5, but a patient may have both at the same time. When documentation supports it, S01.5 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 S01.5 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 S01.5 is sequenced first depends on the reason for the encounter.
What codes fall under S01.5? (6)
- S01.50Unspecified open wound of lip and oral cavitynot billable
- S01.51Laceration of lip and oral cavity without foreign bodynot billable
- S01.52Laceration of lip and oral cavity with foreign bodynot billable
- S01.53Puncture wound of lip and oral cavity without foreign bodynot billable
- S01.54Puncture wound of lip and oral cavity with foreign bodynot billable
- S01.55Open bite of lip and oral cavitynot billable
How long has S01.5 existed?
S01.5 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 S01 family? (7)
- S01.0Open wound of scalpnot billable
- S01.1Open wound of eyelid and periocular areanot billable
- S01.2Open wound of nosenot billable
- S01.3Open wound of earnot billable
- S01.4Open wound of cheek and temporomandibular areanot billable
- S01.8Open wound of other parts of headnot billable
- S01.9Open wound of unspecified part of headnot billable