2026 ICD-10-CM Diagnosis Code S01.152SOpen bite of left eyelid and periocular area, sequela

ICD-10-CM CodesS00–T88S00-S09S01

ICD-10-CM S01.152S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S01.152S is a billable ICD-10-CM diagnosis code for open bite of left eyelid and periocular area, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. Coders also document this condition as bite wound of left eye region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
S01.152S
Billable Status
Yes — Valid for Submission
Code Describes
Open bite of left eyelid and periocular area, sequela
Short Description
Open bite of left eyelid and periocular area, sequela
Same as the full description in the CMS dataset.
Parent Code
Open bite of left eyelid and periocular area

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS00-S09Injuries to the head
CategoryS01Open wound of head
This CodeS01.152SOpen bite of left eyelid and periocular area, sequela

Present on Admission (POA)Billing

S01.152S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bite wound of left eye region
  • Dog bite of eye region
  • Dog bite of face
  • Open wound of face due to animal bite
  • Open wound of face due to bite
  • Open wound of face due to dog bite
  • Open wound of left eyelid
  • Open wound of left eyelid due to dog bite

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Open wound of head (S01). 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.

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Animal Bites

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S01.152S to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
906.0 Lt eff opn wnd head/trnk
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S01.152SOverview

Is S01.152S (Open bite of left eyelid and periocular area) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report open bite of left eyelid and periocular area, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S01.152S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the open bite of left eyelid and periocular area itself has resolved, not the original event.

What MS-DRG does S01.152S group to?

When open bite of left eyelid and periocular area, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S01.152S exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for open bite of left eyelid and periocular area, sequela on inpatient claims.

What is the ICD-9 equivalent of S01.152S?

Under the General Equivalence Mappings, open bite of left eyelid and periocular area, sequela converts to ICD-9-CM 906.0 (lt eff opn wnd head/trnk). 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.