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ICD-10 Guide
ICD-10 CodesS02.2

S02.2

Billable

Fracture of nasal bones

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S02.2 is a billable code used to indicate a diagnosis of fracture of nasal bones.

Key Diagnostic Point:

A fracture of the nasal bones typically occurs due to blunt trauma to the face, often resulting from falls, sports injuries, or physical altercations. The nasal bones are small and fragile, making them susceptible to fractures even with minimal force. Clinically, patients may present with symptoms such as nasal pain, swelling, bruising, and deformity of the nose. In some cases, there may be associated epistaxis (nosebleed) or difficulty breathing through the nose. Diagnosis is primarily made through physical examination and may be confirmed with imaging studies such as X-rays or CT scans, which can reveal the extent of the fracture and any potential displacement. Management often involves conservative treatment, including pain control and nasal splinting, although surgical intervention may be necessary for displaced fractures or cosmetic concerns. Complications can include persistent deformity, chronic nasal obstruction, or recurrent sinusitis if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of fractures
  • Need for imaging studies to confirm diagnosis
  • Potential for associated injuries (e.g., facial fractures)
  • Documentation of mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Incorrect coding of fracture type (e.g., open vs. closed)
  • Misinterpretation of imaging results

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation should include a detailed account of the mechanism of injury, physical examination findings, and any imaging results.

Common Clinical Scenarios

Patients presenting after a fall or sports injury with nasal pain and deformity.

Billing Considerations

Ensure that all associated injuries are documented to avoid undercoding.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any repairs made to the nasal structure.

Common Clinical Scenarios

Surgical intervention for displaced nasal fractures requiring reduction.

Billing Considerations

Document any cosmetic concerns addressed during surgery.

Coding Guidelines

Inclusion Criteria

Use S02.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's mechanism and any associated conditions

Exclusion Criteria

Do NOT use S02.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21310CPT Code

Closed treatment of nasal bone fracture

Clinical Scenario

Used when a closed reduction is performed on a nasal fracture.

Documentation Requirements

Operative report detailing the procedure and any imaging used.

Specialty Considerations

Ensure that the procedure is linked to the correct diagnosis code.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nasal fractures, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nasal fractures, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between S02.2 and S02.3?

S02.2 refers specifically to fractures of the nasal bones, while S02.3 pertains to fractures of the nasal septum. Accurate coding depends on the specific injury documented.