2021 ICD-10-CM Code S00.5

Superficial injury of lip and oral cavity

Version 2021

Not Valid for Submission

S00.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of superficial injury of lip and oral cavity. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:S00.5
Short Description:Superficial injury of lip and oral cavity
Long Description:Superficial injury of lip and oral cavity

Code Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Superficial injury of head (S00). Use the following options for the aplicable episode of care:

Specific Coding for Superficial injury of lip and oral cavity

Non-specific codes like S00.5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for superficial injury of lip and oral cavity:

  • NON-BILLABLE CODE - S00.50 for Unspecified superficial injury of lip and oral cavity
  • NON-BILLABLE CODE - S00.501 for Unspecified superficial injury of lip
  • BILLABLE CODE - Use S00.501A for initial encounter
  • BILLABLE CODE - Use S00.501D for subsequent encounter
  • BILLABLE CODE - Use S00.501S for sequela
  • NON-BILLABLE CODE - S00.502 for Unspecified superficial injury of oral cavity
  • BILLABLE CODE - Use S00.502A for initial encounter
  • BILLABLE CODE - Use S00.502D for subsequent encounter
  • BILLABLE CODE - Use S00.502S for sequela
  • NON-BILLABLE CODE - S00.51 for Abrasion of lip and oral cavity
  • NON-BILLABLE CODE - S00.511 for Abrasion of lip
  • BILLABLE CODE - Use S00.511A for initial encounter
  • BILLABLE CODE - Use S00.511D for subsequent encounter
  • BILLABLE CODE - Use S00.511S for sequela
  • NON-BILLABLE CODE - S00.512 for Abrasion of oral cavity
  • BILLABLE CODE - Use S00.512A for initial encounter
  • BILLABLE CODE - Use S00.512D for subsequent encounter
  • BILLABLE CODE - Use S00.512S for sequela
  • NON-BILLABLE CODE - S00.52 for Blister (nonthermal) of lip and oral cavity
  • NON-BILLABLE CODE - S00.521 for Blister (nonthermal) of lip
  • BILLABLE CODE - Use S00.521A for initial encounter
  • BILLABLE CODE - Use S00.521D for subsequent encounter
  • BILLABLE CODE - Use S00.521S for sequela
  • NON-BILLABLE CODE - S00.522 for Blister (nonthermal) of oral cavity
  • BILLABLE CODE - Use S00.522A for initial encounter
  • BILLABLE CODE - Use S00.522D for subsequent encounter
  • BILLABLE CODE - Use S00.522S for sequela
  • NON-BILLABLE CODE - S00.53 for Contusion of lip and oral cavity
  • NON-BILLABLE CODE - S00.531 for Contusion of lip
  • BILLABLE CODE - Use S00.531A for initial encounter
  • BILLABLE CODE - Use S00.531D for subsequent encounter
  • BILLABLE CODE - Use S00.531S for sequela
  • NON-BILLABLE CODE - S00.532 for Contusion of oral cavity
  • BILLABLE CODE - Use S00.532A for initial encounter
  • BILLABLE CODE - Use S00.532D for subsequent encounter
  • BILLABLE CODE - Use S00.532S for sequela
  • NON-BILLABLE CODE - S00.54 for External constriction of lip and oral cavity
  • NON-BILLABLE CODE - S00.541 for External constriction of lip
  • BILLABLE CODE - Use S00.541A for initial encounter
  • BILLABLE CODE - Use S00.541D for subsequent encounter
  • BILLABLE CODE - Use S00.541S for sequela
  • NON-BILLABLE CODE - S00.542 for External constriction of oral cavity
  • BILLABLE CODE - Use S00.542A for initial encounter
  • BILLABLE CODE - Use S00.542D for subsequent encounter
  • BILLABLE CODE - Use S00.542S for sequela
  • NON-BILLABLE CODE - S00.55 for Superficial foreign body of lip and oral cavity
  • NON-BILLABLE CODE - S00.551 for Superficial foreign body of lip
  • BILLABLE CODE - Use S00.551A for initial encounter
  • BILLABLE CODE - Use S00.551D for subsequent encounter
  • BILLABLE CODE - Use S00.551S for sequela
  • NON-BILLABLE CODE - S00.552 for Superficial foreign body of oral cavity
  • BILLABLE CODE - Use S00.552A for initial encounter
  • BILLABLE CODE - Use S00.552D for subsequent encounter
  • BILLABLE CODE - Use S00.552S for sequela
  • NON-BILLABLE CODE - S00.56 for Insect bite (nonvenomous) of lip and oral cavity
  • NON-BILLABLE CODE - S00.561 for Insect bite (nonvenomous) of lip
  • BILLABLE CODE - Use S00.561A for initial encounter
  • BILLABLE CODE - Use S00.561D for subsequent encounter
  • BILLABLE CODE - Use S00.561S for sequela
  • NON-BILLABLE CODE - S00.562 for Insect bite (nonvenomous) of oral cavity
  • BILLABLE CODE - Use S00.562A for initial encounter
  • BILLABLE CODE - Use S00.562D for subsequent encounter
  • BILLABLE CODE - Use S00.562S for sequela
  • NON-BILLABLE CODE - S00.57 for Other superficial bite of lip and oral cavity
  • NON-BILLABLE CODE - S00.571 for Other superficial bite of lip
  • BILLABLE CODE - Use S00.571A for initial encounter
  • BILLABLE CODE - Use S00.571D for subsequent encounter
  • BILLABLE CODE - Use S00.571S for sequela
  • NON-BILLABLE CODE - S00.572 for Other superficial bite of oral cavity
  • BILLABLE CODE - Use S00.572A for initial encounter
  • BILLABLE CODE - Use S00.572D for subsequent encounter
  • BILLABLE CODE - Use S00.572S for sequela

Information for Patients


Mouth Disorders

Your mouth is one of the most important parts of your body. It has many different functions. It allows you to

Any problem that affects your mouth can make it hard to eat, drink, or even smile. Some common mouth problems include

Treatment for mouth disorders varies, depending on the problem. If a mouth problem is caused by some other disease, treating that disease can help. It is also important to keep your mouth clean and healthy by brushing, flossing, and not using tobacco.


[Learn More in MedlinePlus]

Wounds and Injuries

Also called: Traumatic injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)