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ICD-10 Guide
ICD-10 CodesS01.351

S01.351

Billable

Open bite of right ear

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

Code Description

ICD-10 S01.351 is a billable code used to indicate a diagnosis of open bite of right ear.

Key Diagnostic Point:

An open bite of the right ear refers to a laceration or puncture wound that penetrates through the skin and underlying tissues of the ear, resulting from a traumatic injury. This type of injury can occur due to various mechanisms, including animal bites, human bites, or accidents involving 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 potential damage to the cartilage of the ear. Proper assessment involves a thorough physical examination to evaluate the extent of the injury, including any associated injuries to nearby structures. Diagnostic imaging may be warranted if there is suspicion of deeper tissue involvement or foreign bodies. Management typically includes wound cleaning, possible suturing, and prophylactic antibiotics to prevent infection. Follow-up care is essential to monitor for signs of infection and to assess healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential mechanisms of injury (e.g., animal bites, human bites)
  • Need for detailed documentation of injury specifics
  • Potential for associated injuries requiring additional coding
  • Variability in treatment approaches based on injury severity

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries or complications
  • Incorrect coding of the severity of the injury
  • Lack of follow-up documentation to support ongoing treatment

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation should include a detailed description of the injury, mechanism of injury, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with bites from pets or altercations requiring immediate care.

Billing Considerations

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

Surgery

Documentation Requirements

Operative notes must detail the surgical approach, any repairs made, and post-operative care instructions.

Common Clinical Scenarios

Surgical intervention for extensive lacerations or reconstruction of the ear.

Billing Considerations

Documentation of any grafts or flaps used in repair is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S01.351 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the specific injury and its location
  • Document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S01.351 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the open bite on the right ear.

Documentation Requirements

Document the size of the wound and the method of repair.

Specialty Considerations

Emergency medicine and surgical specialties may have different documentation needs.

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 cases.

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 cases.

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 cases.

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 have a higher risk of infection and require different management.