Valid for Submission
S01.459S is a billable diagnosis code used to specify a medical diagnosis of open bite of unspecified cheek and temporomandibular area, sequela. The code S01.459S is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S01.459S might also be used to specify conditions or terms like animal bite of cheek, dog bite of cheek, human bite of cheek or human bite of face. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S01.459S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like open bite of unspecified cheek and temporomandibular area. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
Unspecified diagnosis codes like S01.459S are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The appropriate 7th character is to be added to each code from block Open wound of head (S01). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Animal bite of cheek
- Dog bite of cheek
- Human bite of cheek
- Human bite of face
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|604||TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC||09||1.4913|
|605||TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC||09||0.9092|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
Convert S01.459S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S01.459S its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Wild animals usually avoid people. They might attack, however, if they feel threatened, are sick, or are protecting their young or territory. Attacks by pets are more common. Animal bites rarely are life-threatening, but if they become infected, you can develop serious medical problems.
To prevent animal bites and complications from bites
- Never pet, handle, or feed unknown animals
- Leave snakes alone
- Watch your children closely around animals
- Vaccinate your cats, ferrets, and dogs against rabies
- Spay or neuter your dog to make it less aggressive
- Get a tetanus booster if you have not had one recently
- Wear boots and long pants when you are in areas with venomous snakes
If an animal bites you, clean the wound with soap and water as soon as possible. Get medical attention if necessary.
Centers for Disease Control and Prevention
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Facial Injuries and Disorders
Face injuries and disorders can cause pain and affect how you look. In severe cases, they can affect sight, speech, breathing and your ability to swallow. Fractures (broken bones), especially in the bones of your nose, cheekbone and jaw, are common facial injuries.
Certain diseases also lead to facial disorders. For example, nerve diseases like trigeminal neuralgia or Bell's palsy sometimes cause facial pain, spasms and trouble with eye or facial movement. Birth defects can also affect the face. They can cause underdeveloped or unusually prominent facial features or a lack of facial expression. Cleft lip and palate are a common facial birth defect.
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