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v1.0.0
ICD-10 Guide
ICD-10 CodesS01.05

S01.05

Billable

Open bite of scalp

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S01.05 is a billable code used to indicate a diagnosis of open bite of scalp.

Key Diagnostic Point:

An open bite of the scalp refers to a laceration or puncture wound that penetrates the skin of the scalp, resulting in an open injury. This type of injury can occur due to various mechanisms, including animal bites, human bites, or trauma from sharp objects. The scalp is highly vascularized, which can lead to significant bleeding and potential complications such as infection. Clinical assessment typically involves a thorough examination of the wound, evaluation for foreign bodies, and assessment of the extent of tissue damage. Imaging studies may be warranted if there is suspicion of deeper injury to underlying structures. Management often includes wound cleaning, possible suturing, and tetanus prophylaxis if indicated. In cases of animal bites, rabies prophylaxis may also be necessary. Complications can include infection, scarring, and in severe cases, damage to underlying structures such as muscles or nerves.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of mechanisms leading to the injury (e.g., animal bites, human bites)
  • Potential for associated complications (e.g., infection, nerve damage)
  • Need for thorough documentation of the injury mechanism and treatment
  • Variability in clinical presentation and management approaches

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries or complications
  • Incorrect coding of the injury type (e.g., coding a closed bite instead of an open bite)
  • Lack of clarity in the treatment provided

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation should include a detailed description of the injury, mechanism, treatment provided, and any follow-up care.

Common Clinical Scenarios

Patients presenting with animal bites, human bites, or trauma from sharp objects.

Billing Considerations

Consideration of rabies prophylaxis in animal bites and the need for tetanus updates.

Surgery

Documentation Requirements

Operative reports must detail the extent of the injury, surgical interventions performed, and post-operative care.

Common Clinical Scenarios

Surgical repair of scalp lacerations or bites requiring debridement.

Billing Considerations

Documentation should reflect the complexity of the surgical procedure and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S01.05 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, mechanism, and any associated conditions
  • Use additional codes as necessary to capture complications or co
  • existing injuries

Exclusion Criteria

Do NOT use S01.05 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of scalp laceration

Clinical Scenario

Used when a patient requires suturing of an open scalp bite.

Documentation Requirements

Operative report detailing the repair procedure and any complications.

Specialty Considerations

Emergency and surgical specialties must ensure accurate coding based on the complexity of the repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of these injuries in clinical settings.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of these injuries in clinical settings.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of these injuries in clinical settings.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between an open bite and a closed bite?

An open bite involves a break in the skin, exposing underlying tissues, while a closed bite does not penetrate the skin.