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v1.0.0
ICD-10 Guide
ICD-10 CodesS01.412

S01.412

Billable

Laceration without foreign body of left cheek and temporomandibular area

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

Code Description

ICD-10 S01.412 is a billable code used to indicate a diagnosis of laceration without foreign body of left cheek and temporomandibular area.

Key Diagnostic Point:

S01.412 refers to a laceration located on the left cheek and temporomandibular area, characterized by a break in the skin without the presence of any foreign body. This type of injury can occur due to various mechanisms, including blunt trauma, sharp objects, or falls. The temporomandibular area is particularly sensitive due to its proximity to vital structures such as nerves and blood vessels. Clinically, patients may present with pain, swelling, and potential functional impairment of the jaw. The management of such lacerations typically involves thorough cleaning, possible suturing, and monitoring for infection. It is crucial to assess the depth and extent of the laceration to determine the appropriate treatment plan. Accurate coding of this injury is essential for proper reimbursement and tracking of injury patterns in healthcare settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise anatomical localization
  • Differentiation from similar codes (e.g., other facial lacerations)
  • Assessment of injury severity and potential complications
  • Documentation of absence of foreign body

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to specify laterality (left vs. right)
  • Misclassification of laceration depth
  • Omission of associated injuries or complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include mechanism of injury, assessment of laceration depth, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with facial trauma from accidents, fights, or falls.

Billing Considerations

Ensure that all relevant details about the injury and treatment are captured to support the coding.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, closure technique, and any complications encountered.

Common Clinical Scenarios

Surgical repair of facial lacerations requiring sutures or other closure methods.

Billing Considerations

Document any additional procedures performed, such as debridement or reconstruction.

Coding Guidelines

Inclusion Criteria

Use S01.412 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring accurate documentation of the injury site, laterality, and absence of foreign bodies
  • Use additional codes for any associated injuries or complications

Exclusion Criteria

Do NOT use S01.412 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, scalp

Clinical Scenario

Used when the laceration requires suturing or closure.

Documentation Requirements

Document the size of the laceration and the technique used for closure.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the laceration.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including detailed anatomical locations and laterality, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including detailed anatomical locations and laterality, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including detailed anatomical locations and laterality, which enhances data accuracy and improves patient care tracking.

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 should I document to support the use of S01.412?

Document the mechanism of injury, the location and depth of the laceration, and any treatment provided. Ensure that it is clear that there is no foreign body present.