2026 ICD-10-CM Diagnosis Code S21.059DOpen bite of unspecified breast, subsequent encounter
S21.059D is a billable ICD-10-CM diagnosis code for open bite of unspecified breast, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as bite wound of breast. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of trunk, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S21.059D 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 breast
- Human bite of breast
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Open wound of thorax (S21). 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
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.
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Convert S21.059D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S21.059DOverview
Is S21.059D (Open bite of unspecified breast) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report open bite of unspecified breast, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S21.059D mean?
The final character D marks a subsequent encounter: use it for routine care while the open bite of unspecified breast is healing, after active treatment has ended.
What MS-DRG does S21.059D group to?
When open bite of unspecified breast, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S21.059D 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 breast, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S21.059D?
Under the General Equivalence Mappings, open bite of unspecified breast, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.
