ICD-10-CM Code S00.469S

Insect bite (nonvenomous) of unspecified ear, sequela

Version 2020 Billable Code POA Exempt

Valid for Submission

S00.469S is a billable code used to specify a medical diagnosis of insect bite (nonvenomous) of unspecified ear, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S00.469S might also be used to specify conditions or terms like animal bite of ear region, infected insect bite of head and neck, insect bite of ear region, insect bite, nonvenomous, of head, infected, nonvenomous insect bite of ear with infection, nonvenomous insect bite of ear without infection, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S00.469S
Short Description:Insect bite (nonvenomous) of unspecified ear, sequela
Long Description:Insect bite (nonvenomous) of unspecified ear, sequela

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Animal bite of ear region
  • Infected insect bite of head and neck
  • Insect bite of ear region
  • Insect bite, nonvenomous, of head, infected
  • Nonvenomous insect bite of ear with infection
  • Nonvenomous insect bite of ear without infection
  • Superficial injury of ear with infection

Diagnostic Related Groups

The ICD-10 code S00.469S is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 604 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
  • 605 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC

Present on Admission (POA)

S00.469S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S00.469S to ICD-9

  • 906.2 - Late eff superficial inj (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the head (S00-S09)
      • Superficial injury of head (S00)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Ear Disorders

Your ear has three main parts: outer, middle and inner. You use all of them in hearing. Sound waves come in through your outer ear. They reach your middle ear, where they make your eardrum vibrate. The vibrations are transmitted through three tiny bones, called ossicles, in your middle ear. The vibrations travel to your inner ear, a snail-shaped organ. The inner ear makes the nerve impulses that are sent to the brain. Your brain recognizes them as sounds. The inner ear also controls balance.

A variety of conditions may affect your hearing or balance:

  • Ear infections are the most common illness in infants and young children.
  • Tinnitus, a roaring in your ears, can be the result of loud noises, medicines or a variety of other causes.
  • Meniere's disease may be the result of fluid problems in your inner ear; its symptoms include tinnitus and dizziness.
  • Ear barotrauma is an injury to your ear because of changes in barometric (air) or water pressure.

Some ear disorders can result in hearing disorders and deafness.


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Insect Bites and Stings

Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus. Travelers outside the United States may be at risk for malaria and other infections.

To prevent insect bites and their complications

  • Don't bother insects
  • Use insect repellant
  • Wear protective clothing
  • Be careful when you eat outside because food attracts insects
  • If you know you have severe allergic reactions to insect bites and stings (such as anaphylaxis), carry an emergency epinephrine kit

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