Valid for Submission
S30.865A is a billable diagnosis code used to specify a medical diagnosis of insect bite (nonvenomous) of unspecified external genital organs, male, initial encounter. The code S30.865A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S30.865A might also be used to specify conditions or terms like infected insect bite of genitalia or insect bite of genitalia.
The code S30.865A is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
S30.865A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like insect bite (nonvenomous) of unspecified external genital organs male. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like S30.865A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The appropriate 7th character is to be added to each code from block Superfic inj abdomen, low back, pelvis and external genitals (S30). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Infected insect bite of genitalia
- Insect bite of genitalia
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|606||MINOR SKIN DISORDERS WITH MCC||09||1.511|
|607||MINOR SKIN DISORDERS WITHOUT MCC||09||0.8256|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S30.865A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S30.865A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Insect Bites and Stings
Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus. Travelers outside the United States may be at risk for malaria and other infections.
To prevent insect bites and their complications
- Don't bother insects
- Use insect repellant
- Wear protective clothing
- Be careful when you eat outside because food attracts insects
- If you know you have severe allergic reactions to insect bites and stings (such as anaphylaxis), carry an emergency epinephrine kit
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