S11.85XS — Open bite of other specified part of neck, sequela
Is S11.85XS billable?
Yes, but S11.85XS is an unspecified code. S11.85XS is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S11.85XS 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 S11.85XS — the more specific alternatives are listed below.
S11.85XS at a glance
| Code | S11.85XS |
|---|---|
| Description | Open bite of other specified part of neck, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S11.85XS?
In S11.85XS, the 7th character S means sequela. The 7th character is required for S11.85XS to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S11.85XS group to?
S11.85XS sits in MDC 09 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.
- 604Trauma to the Skin, Subcutaneous Tissue and Breast with MCCmedical
- 605Trauma to the Skin, Subcutaneous Tissue and Breast without MCCmedical
How is S11.85XS listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S11.85, the nearest indexed parent of S11.85XS. Use them to find the family, then select the specific code.
- Bite › supraclavicular fossa (s) (animal) (human)
- Bite › neck › specified site NEC (s) (animal) (human)
- Bite › neck › throat (s) (animal) (human)
Excludes1 — never code together
The conditions below can never be reported together with S11.85XS on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- superficial bite of other specified part of neck (S10.87)
Inclusion terms
Alternative wording in documentation that is classified to S11.85XS.
- Bite of other specified part of neck NOS
Excludes1 — never code together — inherited from S11.85
The conditions below can never be reported together with S11.85XS on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- superficial bite of other specified part of neck (S10.87)
Use additional code — inherited from Chapter 19
Report an additional code alongside S11.85XS to fully describe the condition. S11.85XS 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 S11.85XS, but a patient may have both at the same time. When documentation supports it, S11.85XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S10-S19
The conditions below are not part of S11.85XS, but a patient may have both at the same time. When documentation supports it, S11.85XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S11
The conditions below are not part of S11.85XS, but a patient may have both at the same time. When documentation supports it, S11.85XS and the excluded code may both be reported.
- open fracture of vertebra (S12.- with 7th character B)
Code also — inherited from S11
Two codes may be needed to describe the condition fully. Whether S11.85XS is sequenced first depends on the reason for the encounter.
How long has S11.85XS existed?
S11.85XS 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.