2024 ICD-10-CM Diagnosis Code S01.512D

Laceration without foreign body of oral cavity, subsequent encounter

ICD-10-CM Code:
S01.512D
ICD-10 Code for:
Laceration without foreign body of oral cavity, subs encntr
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the head
      (S00-S09)
      • Open wound of head
        (S01)

S01.512D is a billable diagnosis code used to specify a medical diagnosis of laceration without foreign body of oral cavity, subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

S01.512D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like laceration without foreign body of oral cavity. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Approximate Synonyms

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

  • Avulsion of hard palate
  • Complex laceration of buccal mucosa
  • Complex laceration of cheek
  • Complex laceration of cheek
  • Complex laceration of floor of mouth
  • Complex laceration of hard palate
  • Complex laceration of mandibular attached gingiva
  • Complex laceration of mandibular vestibule
  • Complex laceration of maxillary attached gingiva
  • Complex laceration of maxillary vestibule
  • Complex laceration of oropharynx
  • Complex laceration of oropharynx
  • Complex laceration of oropharynx
  • Complex laceration of oropharynx
  • Complex laceration of soft palate
  • Complex laceration of soft palate
  • Complex laceration of tongue
  • Complex laceration of tongue
  • Complex laceration of tonsil
  • Contaminated complex laceration of buccal mucosa
  • Contaminated complex laceration of cheek
  • Contaminated complex laceration of floor of mouth
  • Contaminated complex laceration of hard palate
  • Contaminated complex laceration of mandibular vestibule
  • Contaminated complex laceration of maxillary vestibule
  • Contaminated complex laceration of oropharynx
  • Contaminated complex laceration of soft palate
  • Contaminated complex laceration of tongue
  • Contaminated complex laceration of tonsil
  • Contaminated simple laceration of buccal mucosa
  • Contaminated simple laceration of cheek
  • Contaminated simple laceration of floor of mouth
  • Contaminated simple laceration of hard palate
  • Contaminated simple laceration of mandibular vestibule
  • Contaminated simple laceration of maxillary vestibule
  • Contaminated simple laceration of oropharynx
  • Contaminated simple laceration of soft palate
  • Contaminated simple laceration of tongue
  • Contaminated simple laceration of tonsil
  • Cut of mouth
  • Injury of salivary duct
  • Injury of salivary gland
  • Laceration of airway
  • Laceration of airway
  • Laceration of airway
  • Laceration of airway
  • Laceration of airway
  • Laceration of airway
  • Laceration of airway
  • Laceration of airway
  • Laceration of airway
  • Laceration of buccal mucosa
  • Laceration of floor of mouth
  • Laceration of gingivae
  • Laceration of mouth
  • Laceration of oral alveolar mucosa
  • Laceration of oral cavity
  • Laceration of oropharynx
  • Laceration of oropharynx
  • Laceration of oropharynx
  • Laceration of palate
  • Laceration of palate
  • Laceration of salivary gland
  • Laceration of tongue
  • Laceration of tongue
  • Laceration of tongue
  • Laceration of tongue
  • Open wound of buccal mucosa
  • Open wound of buccal mucosa
  • Open wound of buccal mucosa
  • Open wound of buccal mucosa
  • Open wound of buccal mucosa
  • Open wound of mouth floor
  • Open wound of mouth floor
  • Open wound of mouth floor
  • Open wound of mouth floor
  • Open wound of mouth floor
  • Simple laceration of buccal mucosa
  • Simple laceration of cheek
  • Simple laceration of cheek
  • Simple laceration of floor of mouth
  • Simple laceration of hard palate
  • Simple laceration of mandibular attached gingiva
  • Simple laceration of mandibular vestibule
  • Simple laceration of maxillary attached gingiva
  • Simple laceration of maxillary vestibule
  • Simple laceration of oropharynx
  • Simple laceration of oropharynx
  • Simple laceration of oropharynx
  • Simple laceration of oropharynx
  • Simple laceration of soft palate
  • Simple laceration of tongue
  • Simple laceration of tongue
  • Simple laceration of tonsil
  • Stab wound of head
  • Stab wound of mouth
  • Tear of salivary duct

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Any dental condition including traumatic injuryDEN001N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Open wounds of head and neck, subsequent encounterINJ048Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Coding Guidelines

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

Present on Admission (POA)

S01.512D 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 IndicatorReason 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 S01.512D to ICD-9-CM

  • ICD-9-CM Code: V58.89 - Other specfied aftercare
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Wounds and 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:

  • Animal bites
  • Bruises
  • Burns
  • Dislocations
  • Electrical injuries
  • Fractures (broken bones)
  • Sprains and strains

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.