2026 ICD-10-CM Diagnosis Code S41.159AOpen bite of unspecified upper arm, initial encounter
S41.159A is a billable ICD-10-CM diagnosis code for open bite of unspecified upper arm, 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 604 through 605, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Animal bite of axilla
- Animal bite of upper arm
- Bite in axilla
- Dog bite of axilla
- Dog bite of shoulder
- Dog bite of upper arm
- Human bite of axilla
- Human bite of shoulder
- Human bite of upper arm
- Open bite of upper arm
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Open wound of shoulder and upper arm (S41). 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.
Read the full article at MedlinePlus
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Convert S41.159A to ICD-9-CMHistory
Code HistoryHistory
Questions About S41.159AOverview
Is S41.159A (Open bite of unspecified upper arm) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report open bite of unspecified upper arm, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S41.159A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for open bite of unspecified upper arm, such as an emergency visit or first evaluation.
What MS-DRG does S41.159A group to?
When open bite of unspecified upper arm, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, 963, 964, 965, with relative weights from 0.9160 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S41.159A?
Under the General Equivalence Mappings, open bite of unspecified upper arm, initial encounter converts to ICD-9-CM 880.03 (open wound of upper arm) and 880.09 (mult open wound shoulder). 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.
