S21.0
Non-Billable

Open wound of breast

Non-Billable / Non-Specific Code

What is Open wound of breast?

ICD-10-CM S21.0 is the diagnosis code for Open wound of breast. This code falls under the section "Injuries to the thorax" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for S21.0

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where S21.0 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
S21.00Unspecified open wound of breastNon-BillableS21.001Unspecified open wound of right breastBillableS21.002Unspecified open wound of left breastBillableS21.009Unspecified open wound of unspecified breastBillableS21.01Laceration without foreign body of breastNon-BillableS21.011Laceration without foreign body of right breastBillableS21.012Laceration without foreign body of left breastBillableS21.019Laceration without foreign body of unspecified breastBillableS21.02Laceration with foreign body of breastNon-BillableS21.021Laceration with foreign body of right breastBillableS21.022Laceration with foreign body of left breastBillableS21.029Laceration with foreign body of unspecified breastBillableS21.03Puncture wound without foreign body of breastNon-BillableS21.031Puncture wound without foreign body of right breastBillableS21.032Puncture wound without foreign body of left breastBillableS21.039Puncture wound without foreign body of unspecified breastBillableS21.04Puncture wound with foreign body of breastNon-BillableS21.041Puncture wound with foreign body of right breastBillableS21.042Puncture wound with foreign body of left breastBillableS21.049Puncture wound with foreign body of unspecified breastBillableS21.05Open bite of breastNon-BillableS21.051Open bite of right breastBillableS21.052Open bite of left breastBillableS21.059Open bite of unspecified breastBillable
Related Codes

Frequently Asked Questions

Is S21.0 a billable ICD-10-CM code?

No, S21.0 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does S21.0 mean?

S21.0 is the ICD-10-CM diagnosis code for "Open wound of breast". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of S21.0?

The parent code of S21.0 is S21 ("Open wound of thorax"). S21.0 provides a more specific classification within this category.

What section is S21.0 in?

S21.0 is located in Section S20-S29 — "Injuries to the thorax" within Chapter 19 of the ICD-10-CM Tabular List.

What are the sub-codes of S21.0?

S21.0 has 6 sub-code(s) that provide more specific detail: S21.00, S21.01, S21.02, S21.03, S21.04 and more.

When should I use S21.0?

Use S21.0 when the patients documented diagnosis matches "Open wound of breast" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Open wound of breast?

The ICD-10-CM code for Open wound of breast is S21.0.

Can S21.0 be used for primary diagnosis?

No, S21.0 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is S21.0 in?

S21.0 is in Chapter 19 of the ICD-10-CM Tabular List.

Is S21.0 valid for 2026?

Yes, S21.0 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousS21Open wound of thoraxNext →S21.00Unspecified open wound of breast
Code Details
S21.0
Open wound of breast
Non-Billable / Non-Specific Code
19 — Injury, poisoning and certain other consequences of external causes (S00-T88)
S20-S29 — Injuries to the thorax
2026 ICD-10-CM