ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS01.151

S01.151

Billable

Open bite of right eyelid and periocular area

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

Code Description

ICD-10 S01.151 is a billable code used to indicate a diagnosis of open bite of right eyelid and periocular area.

Key Diagnostic Point:

An open bite of the right eyelid and periocular area refers to a laceration or puncture wound that penetrates the skin of the eyelid and surrounding tissues, resulting from an external force. This type of injury can occur due to various mechanisms, including animal bites, human bites, or trauma from sharp objects. The periocular area encompasses the eyelids and the surrounding skin, making injuries in this region particularly concerning due to the potential for complications such as infection, scarring, and damage to the underlying structures, including the eye itself. Clinical assessment typically involves a thorough examination of the wound, evaluation for foreign bodies, and assessment of the integrity of the eyelid and surrounding tissues. Management may include wound cleaning, suturing, and possibly prophylactic antibiotics to prevent infection. Given the delicate nature of the eyelid and its functional importance, timely and appropriate intervention is crucial to minimize complications and ensure optimal healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury mechanisms (e.g., bites vs. sharp objects)
  • Potential for associated injuries to the eye or surrounding structures
  • Need for detailed documentation of the injury's nature and extent
  • Differentiation from similar codes for other eyelid injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the laterality of the injury
  • Misclassification of the injury type (e.g., open vs. closed)
  • Lack of follow-up documentation regarding treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include the mechanism of injury, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Common scenarios include animal bites, human bites, or injuries from falls or accidents involving sharp objects.

Billing Considerations

Consideration should be given to the potential for associated injuries to the eye and the need for referral to ophthalmology if indicated.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, techniques used for wound closure, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical management may be required for extensive lacerations or when there is concern for underlying damage to the eye.

Billing Considerations

Documentation should reflect the complexity of the repair and any additional procedures performed, such as reconstruction.

Coding Guidelines

Inclusion Criteria

Use S01.151 When
  • Follow the official ICD
  • CM coding guidelines for injuries, ensuring accurate documentation of the injury's nature, location, and any associated complications
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use S01.151 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, scalp

Clinical Scenario

Used when performing a simple repair of an open bite injury to the eyelid.

Documentation Requirements

Operative report must detail the extent of the injury and the repair technique used.

Specialty Considerations

Considerations for cosmetic outcomes and potential referrals to plastic surgery for complex repairs.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding injuries, including those to the eyelid and periocular area. This specificity aids in better tracking of injury patterns and outcomes, ultimately improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding injuries, including those to the eyelid and periocular area. This specificity aids in better tracking of injury patterns and outcomes, ultimately improving patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding injuries, including those to the eyelid and periocular area. This specificity aids in better tracking of injury patterns and outcomes, ultimately improving patient care.

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 laceration or puncture that penetrates the skin, while a closed bite does not break the skin. Open bites may require more extensive treatment and carry a higher risk of infection.