2026 ICD-10-CM Diagnosis Code S01.95XSOpen bite of unspecified part of head, sequela
S01.95XS is a billable ICD-10-CM diagnosis code for open bite of unspecified part of head, 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S01.95XS 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.
- Animal bite of head
- Animal bite of head and neck
- Dog bite of head
- Dog bite of head and neck
- Dog bite of neck
- Human bite of head
- Human bite of head and neck
- Human bite of neck
- Open bite of head
- Open wound of head due to dog bite
- Open wound of head due to human 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.
Patient EducationClinical
Foreign Bodies
If you've ever gotten a splinter or had sand in your eye, you've had experience with a foreign body. A foreign body is something that is stuck inside you but isn't supposed to be there. You may inhale or swallow a foreign body, or you may get one from an injury to almost any part of your body.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S01.95XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S01.95XSOverview
Is S01.95XS (Open bite of unspecified part of head) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report open bite of unspecified part of head, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S01.95XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the open bite of unspecified part of head itself has resolved, not the original event.
What MS-DRG does S01.95XS group to?
When open bite of unspecified part of head, 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 S01.95XS 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 unspecified part of head, sequela on inpatient claims.
What is the ICD-9 equivalent of S01.95XS?
Under the General Equivalence Mappings, open bite of unspecified part of head, 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.
