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ICD-10 Guide
ICD-10 CodesChapter 19: Injury, poisoning and other consequences of external causesS01

S01

Non-billable

Open wound of head

Chapter 19:Injury, poisoning and other consequences of external causes

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 S01 is a used to indicate a diagnosis of open wound of head.

Key Diagnostic Point:

The S01 category in ICD-10 pertains to open wounds of the head, which encompass a variety of injuries that can occur due to trauma, accidents, or surgical procedures. These wounds can range from superficial cuts and abrasions to more severe lacerations that may involve underlying structures such as muscles, nerves, or blood vessels. The clinical significance of accurately coding S01 lies in the potential for complications, such as infection or hemorrhage, which can arise from these injuries. Proper documentation and coding are essential for ensuring appropriate treatment and follow-up care, as well as for facilitating accurate reimbursement for healthcare providers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in severity of wounds
  • Potential for complications
  • Need for detailed documentation

Audit Risk Factors

  • Inadequate documentation of the injury
  • Misclassification of wound severity
  • Failure to capture associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the S01 code category is significant, as accurate coding can influence quality measures and patient outcomes. Open wounds of the head can lead to complications such as infections, which may affect patient recovery and healthcare costs. Furthermore, understanding the trends in head injuries can aid in population health management and inform preventive measures. By ensuring proper coding and documentation, healthcare providers can contribute to better data collection, which is crucial for improving healthcare delivery and outcomes.

ICD-9 vs ICD-10

The clinical and administrative impact of the S01 code category is significant, as accurate coding can influence quality measures and patient outcomes. Open wounds of the head can lead to complications such as infections, which may affect patient recovery and healthcare costs. Furthermore, understanding the trends in head injuries can aid in population health management and inform preventive measures. By ensuring proper coding and documentation, healthcare providers can contribute to better data collection, which is crucial for improving healthcare delivery and outcomes.

Reimbursement & Billing Impact

reimbursement. Additionally, it is important to include any procedures performed, such as suturing or debridement, using the corresponding CPT codes. Insurance payers may have specific requirements regarding the documentation of the injury and the treatment provided, so familiarity with these guidelines is essential for successful billing.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for S01

Coding & Billing References

  • •
    Official ICD-10 Guidelines for S01

Frequently Asked Questions

What conditions are included in S01?

The S01 category includes various types of open wounds of the head, such as lacerations, abrasions, and puncture wounds, which may be classified further based on their severity and location.

When should I use S01 codes?

S01 codes should be used when documenting any open wound of the head, particularly when the injury requires medical treatment or surgical intervention, and when the specifics of the wound need to be captured for accurate coding.

What documentation is required for S01?

Documentation for S01 codes should include a detailed description of the wound, including its size, depth, location, and any associated injuries or complications. Additionally, the mechanism of injury and treatment provided should be clearly recorded.