2026 ICD-10-CM Diagnosis Code S00.562AInsect bite (nonvenomous) of oral cavity, initial encounter
S00.562A is a billable ICD-10-CM diagnosis code for insect bite (nonvenomous) of oral cavity, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Insect bite of mouth
- Nonvenomous insect bite of gum
- Nonvenomous insect bite of gum with infection
- Nonvenomous insect bite of mouth
- Nonvenomous insect bite of tongue
- Nonvenomous insect bite of tongue with infection
- Superficial injury of gum with infection
- Superficial injury of tongue
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial injury of head (S00). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S00.562A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S00.562AOverview
Is S00.562A (Insect bite (nonvenomous) of oral cavity) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report insect bite (nonvenomous) of oral cavity, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S00.562A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for insect bite (nonvenomous) of oral cavity, such as an emergency visit or first evaluation.
What MS-DRG does S00.562A group to?
When insect bite (nonvenomous) of oral cavity, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 606, 607, 963, 964, 965, with relative weights from 0.9064 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S00.562A?
Under the General Equivalence Mappings, insect bite (nonvenomous) of oral cavity, initial encounter converts to ICD-9-CM 910.4 (insect bite head). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
