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ICD-10 Guide
ICD-10 CodesS01.352

S01.352

Billable

Open bite of left ear

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

Code Description

ICD-10 S01.352 is a billable code used to indicate a diagnosis of open bite of left ear.

Key Diagnostic Point:

An open bite of the left ear refers to a specific type of injury characterized by a laceration or puncture wound that penetrates the skin and underlying tissues of the ear. This injury can occur due to various mechanisms, including animal bites, human bites, or trauma from sharp objects. The clinical presentation may include bleeding, swelling, and pain localized to the affected area. Open bites can lead to complications such as infection, scarring, and damage to the cartilage or surrounding structures. The management of an open bite typically involves thorough cleaning of the wound, assessment for foreign bodies, and potential closure depending on the size and depth of the injury. Antibiotic prophylaxis may be indicated to prevent infection, especially in cases of human or animal bites. Proper documentation of the mechanism of injury, the extent of the wound, and any associated injuries is crucial for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential mechanisms of injury (e.g., animal bites, human bites, trauma)
  • Need for detailed documentation of the injury's extent and treatment
  • Potential for associated injuries requiring additional codes
  • Variability in clinical presentation and management approaches

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the depth and extent of the bite
  • Misclassification of the injury type (e.g., coding a closed bite instead)
  • Lack of follow-up documentation regarding treatment and outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Acute care documentation must include the mechanism of injury, vital signs, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with bites from pets or other humans, often requiring immediate care to prevent infection.

Billing Considerations

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

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, any repairs made, and post-operative care.

Common Clinical Scenarios

Surgical intervention for extensive lacerations or when there is significant tissue loss.

Billing Considerations

Documentation of any grafts or reconstructive procedures performed on the ear.

Coding Guidelines

Inclusion Criteria

Use S01.352 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, ensuring accurate documentation of the injury's specifics, including laterality and type of injury
  • Codes for associated conditions or complications should also be considered

Exclusion Criteria

Do NOT use S01.352 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the open bite if it requires suturing.

Documentation Requirements

Operative notes detailing the repair process and any complications.

Specialty Considerations

Emergency medicine and surgical specialties should ensure accurate coding of the procedure performed.

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 laterality and type of injury, improving the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including laterality and type of injury, improving the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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. Accurate coding requires distinguishing between the two.