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ICD-10 Guide
ICD-10 CodesS02.8

S02.8

Billable

Fractures of other specified skull and facial bones

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

Code Description

ICD-10 S02.8 is a billable code used to indicate a diagnosis of fractures of other specified skull and facial bones.

Key Diagnostic Point:

Fractures of the skull and facial bones can occur due to various mechanisms of injury, including blunt trauma, falls, motor vehicle accidents, and sports injuries. The skull protects the brain, while facial bones provide structure and support for the face. Fractures in this category may involve bones such as the zygomatic, nasal, or maxillary bones, among others. Clinical presentation often includes localized pain, swelling, bruising, and potential neurological symptoms if the fracture is severe. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to assess the extent of the injury. Management may range from conservative treatment, such as pain management and observation, to surgical intervention for more complex fractures requiring realignment or fixation. Complications can include infection, chronic pain, or neurological deficits, particularly if the fracture involves the base of the skull. Accurate coding is essential for appropriate treatment and reimbursement, necessitating detailed documentation of the injury mechanism, affected bones, and any associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential facial bones involved
  • Need for precise documentation of injury mechanism
  • Differentiation from other skull fractures
  • Potential for associated neurological injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact facial bones involved
  • Misclassification of fracture type
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, clinical findings, and any immediate interventions performed.

Common Clinical Scenarios

Trauma cases presenting with facial injuries from falls or assaults.

Billing Considerations

Ensure that all relevant imaging studies are documented and that any neurological assessments are included.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, specific bones involved, and any fixation methods used.

Common Clinical Scenarios

Surgical repair of complex facial fractures following trauma.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S02.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific nature of the fracture and any associated injuries
  • Use additional codes to capture complications or related conditions

Exclusion Criteria

Do NOT use S02.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21310CPT Code

Closed treatment of zygomatic arch fracture

Clinical Scenario

Used when a zygomatic arch fracture is treated without surgical intervention.

Documentation Requirements

Document the nature of the fracture and treatment provided.

Specialty Considerations

Emergency and surgical documentation must align with the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more granular coding of fractures, improving specificity and accuracy in capturing the nature of injuries, which is crucial for treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of fractures, improving specificity and accuracy in capturing the nature of injuries, which is crucial for treatment planning and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 S02.8 and S02.3?

S02.8 is used for fractures of other specified skull and facial bones, while S02.3 specifically refers to fractures of the nasal bones. Accurate coding depends on the specific bones involved.