2026 ICD-10-CM Diagnosis Code S01.25XAOpen bite of nose, initial encounter

ICD-10-CM CodesS00–T88S00-S09S01

ICD-10-CM S01.25XA
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S01.25XA is a billable ICD-10-CM diagnosis code for open bite of nose, 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 154 through 156, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of head and neck, initial encounter.

Code Identity

ICD-10-CM Code
S01.25XA
Billable Status
Yes — Valid for Submission
Code Describes
Open bite of nose, initial encounter
Short Description
Open bite of nose, initial encounter
Same as the full description in the CMS dataset.
Parent Code
Open bite of nose

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS00-S09Injuries to the head
CategoryS01Open wound of head
This CodeS01.25XAOpen bite of nose, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Animal bite of nose
  • Bite wound of nose
  • Dog bite of face
  • Dog bite of nose
  • Human bite of face
  • Human bite of nose
  • 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 nose 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 INJ011
Open wounds of head and neck, initial encounter
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 S01.25XA to ICD-9-CMHistory

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

ICD-9-CM
873.20 Open wound of nose NOS
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 S01.25XAOverview

Is S01.25XA (Open bite of nose) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report open bite of nose, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S01.25XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for open bite of nose, such as an emergency visit or first evaluation.

What MS-DRG does S01.25XA group to?

When open bite of nose, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 154, 155, 156, 963, 964, 965, with relative weights from 0.6911 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S01.25XA?

Under the General Equivalence Mappings, open bite of nose, initial encounter converts to ICD-9-CM 873.20 (open wound of nose NOS). 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.