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ICD-10 Guide
ICD-10 CodesS11.15

S11.15

Billable

Open bite of thyroid gland

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

Code Description

ICD-10 S11.15 is a billable code used to indicate a diagnosis of open bite of thyroid gland.

Key Diagnostic Point:

An open bite of the thyroid gland is a specific type of injury characterized by a penetrating wound that disrupts the integrity of the thyroid tissue. This injury can occur due to various mechanisms, including trauma from sharp objects, bites from animals or humans, or accidents involving machinery. Clinically, patients may present with localized pain, swelling, and potential bleeding in the neck region. The thyroid gland, located in the anterior neck, plays a crucial role in metabolic regulation, and injuries to this area can lead to complications such as hemorrhage, infection, or damage to surrounding structures, including the trachea and esophagus. Diagnosis typically involves a thorough physical examination, imaging studies such as ultrasound or CT scans, and laboratory tests to assess thyroid function. Management may require surgical intervention to repair the injury, control bleeding, and prevent infection. Post-injury monitoring is essential to address any complications that may arise, including hypothyroidism or airway obstruction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of anatomical structures and their functions.
  • Involves distinguishing between open and closed injuries.
  • Potential for associated injuries complicating the coding.
  • Need for precise documentation of the mechanism of injury.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the type of bite (e.g., animal vs. human).
  • Misclassification of the injury as closed rather than open.
  • Lack of follow-up documentation regarding complications.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed documentation of the injury mechanism, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with neck trauma from bites or sharp objects, requiring urgent evaluation and management.

Billing Considerations

Ensure accurate coding of the injury type and associated complications, as emergency settings often involve rapid decision-making.

Surgery

Documentation Requirements

Comprehensive operative reports detailing the surgical approach, findings, and any repairs made to the thyroid gland.

Common Clinical Scenarios

Surgical management of open thyroid injuries, including exploration and repair of the gland.

Billing Considerations

Document any complications encountered during surgery, as these may affect coding and billing.

Coding Guidelines

Inclusion Criteria

Use S11.15 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the nature of the injury and any associated complications
  • Document the mechanism of injury and any relevant clinical findings to support the coding decision

Exclusion Criteria

Do NOT use S11.15 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 60200CPT Code

Thyroidectomy, total or subtotal

Clinical Scenario

Used when surgical intervention is required for an open bite of the thyroid gland.

Documentation Requirements

Operative report detailing the procedure performed and findings.

Specialty Considerations

Ensure that the surgical approach and any complications are well documented.

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 of the thyroid gland, which enhances the ability to track and manage these injuries effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites of the thyroid gland, which enhances the ability to track and manage these injuries effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites of the thyroid gland, which enhances the ability to track and manage these injuries effectively.

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 primary mechanism of injury for S11.15?

The primary mechanism of injury for S11.15 is typically a penetrating trauma, such as bites from animals or humans, or injuries from sharp objects.

How do I differentiate between open and closed injuries?

Open injuries involve a break in the skin and exposure of underlying tissues, while closed injuries do not disrupt the skin's integrity.