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v1.0.0
ICD-10 Guide
ICD-10 CodesS01.25

S01.25

Billable

Open bite of nose

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

Code Description

ICD-10 S01.25 is a billable code used to indicate a diagnosis of open bite of nose.

Key Diagnostic Point:

An open bite of the nose refers to a laceration or puncture wound that penetrates the skin and underlying tissues of the nasal area, often resulting from trauma such as animal bites, falls, or accidents. This type of injury can lead to significant bleeding, potential infection, and cosmetic deformity if not properly managed. The mechanism of injury typically involves a forceful impact or a biting action that disrupts the integrity of the skin and soft tissues. Clinically, patients may present with pain, swelling, and visible damage to the nasal structure. Diagnosis is primarily based on physical examination, and imaging may be warranted to assess for deeper tissue involvement or fractures. Management often includes wound cleaning, possible suturing, and tetanus prophylaxis, along with antibiotics if there is a high risk of infection. Follow-up care is crucial to monitor for complications such as scarring or infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of the mechanism of injury
  • Need for precise anatomical descriptions
  • Potential for associated injuries requiring additional codes
  • Differentiation from similar codes for other facial injuries

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to specify the depth of the wound
  • Misclassification of the injury type (open vs. closed)
  • Omission of external cause codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed notes on the mechanism of injury, initial assessment findings, and treatment provided.

Common Clinical Scenarios

Trauma cases involving animal bites or accidents leading to facial injuries.

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support coding.

Surgery

Documentation Requirements

Operative reports detailing the surgical approach, techniques used, and post-operative care.

Common Clinical Scenarios

Surgical repair of open nasal wounds or reconstruction following severe trauma.

Billing Considerations

Accurate coding requires comprehensive documentation of the surgical procedure and any complications.

Coding Guidelines

Inclusion Criteria

Use S01.25 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the nature of the injury and any associated external causes
  • Documentation must support the diagnosis and any additional codes used

Exclusion Criteria

Do NOT use S01.25 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing an open bite of the nose.

Documentation Requirements

Document the size of the wound and the technique used.

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 enhances 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 open bites, which enhances 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.