2025 ICD-10-CM code S01.05XD
Open bite of scalp, subsequent encounter.
Medical necessity is established by the presence of an open bite wound on the scalp requiring medical attention.
Providers diagnose the condition on the basis of the patient’s history and physical examination with specific attention to the wound. Treatment options include stopping any bleeding, cleaning and debriding the open bite and suturing if necessary; application of appropriate topical medication and dressing; and medications such as analgesics and nonsteroidal antiinflammatory drugs and antibiotics and tetanus prophylaxis when necessary.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: An open bite of the scalp is a wound caused by an animal or human bite. This code is used for follow-up visits after the initial treatment.
An open bite of the scalp refers to a bite by an animal or human. This code applies to a subsequent encounter.
Example 1: A patient presents for a follow-up appointment after being bitten by a dog on the scalp one week prior. The wound is healing well, but the patient still requires a dressing change., A patient who was bitten by a human on the scalp two weeks prior presents for a follow-up. The wound shows signs of infection, and the provider prescribes antibiotics., A child was bitten on the scalp by an insect one week ago and is brought in for a check-up. The bite area is slightly red and itchy, and topical hydrocortisone is prescribed.
Documentation should include the details of the initial injury, the cause of the bite (animal or human), the location and size of the wound, the treatment provided, and the patient's response to treatment. Any signs of infection or other complications should also be documented.
- Specialties:Emergency Medicine, Family Medicine, General Surgery, Plastic Surgery
- Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital,Outpatient Hospital, Urgent Care Facility