ICD-10-CM Code S00.96XS

Insect bite (nonvenomous) of unspecified part of head, sequela

Version 2020 Billable Code POA Exempt

Valid for Submission

S00.96XS is a billable code used to specify a medical diagnosis of insect bite (nonvenomous) of unspecified part of head, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S00.96XS might also be used to specify conditions or terms like infected insect bite of head and neck or infected insect bite of head and neck or insect bite of head or insect bite of head and neck or insect bite, nonvenomous, of head, infected. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S00.96XS
Short Description:Insect bite (nonvenomous) of unsp part of head, sequela
Long Description:Insect bite (nonvenomous) of unspecified part of head, sequela

Synonyms

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

  • Infected insect bite of head and neck
  • Infected insect bite of head and neck
  • Insect bite of head
  • Insect bite of head and neck
  • Insect bite, nonvenomous, of head, infected

Diagnostic Related Groups

The ICD-10 code S00.96XS 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 10/01/2020 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)

S00.96XS 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 S00.96XS 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


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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