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ICD-10 Guide
ICD-10 CodesS01.80

S01.80

Billable

Unspecified open wound of other part of head

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

Code Description

ICD-10 S01.80 is a billable code used to indicate a diagnosis of unspecified open wound of other part of head.

Key Diagnostic Point:

The ICD-10 code S01.80 refers to an unspecified open wound located on other parts of the head that do not fall under more specific categories. Open wounds can result from various mechanisms, including blunt force trauma, lacerations, or penetrating injuries. These injuries may occur due to accidents, falls, assaults, or sports-related incidents. Clinically, open wounds can present with varying degrees of severity, from superficial abrasions to deep lacerations that may involve underlying structures such as muscles, nerves, or blood vessels. The management of these wounds typically involves thorough cleaning, debridement, and, if necessary, suturing or other closure methods. Complications can include infection, delayed healing, and scarring. Accurate coding is essential for proper treatment documentation and reimbursement, as well as for tracking injury patterns in public health data.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of wound specifics
  • Need for differentiation from other head injuries
  • Potential for multiple injuries requiring additional codes
  • Variability in treatment approaches based on injury severity

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact location of the wound
  • Misclassification of wound type (open vs. closed)
  • Inconsistent coding of multiple injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed description of the wound, mechanism of injury, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations from falls, sports injuries, or assaults requiring immediate care.

Billing Considerations

Ensure that the documentation captures the urgency and nature of the injury to support the coding choice.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, extent of the wound, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical repair of complex lacerations or wounds requiring grafting.

Billing Considerations

Coders should ensure that all relevant surgical codes are linked to the appropriate diagnosis.

Coding Guidelines

Inclusion Criteria

Use S01.80 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the specific site of the wound is not documented
  • Coders should also verify that the injury is indeed an open wound and not a closed injury

Exclusion Criteria

Do NOT use S01.80 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of an open wound on the head.

Documentation Requirements

Document the size and location of the wound, as well as the repair technique used.

Specialty Considerations

Emergency and surgical specialties should ensure accurate linkage between the procedure and diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, but it has also increased the complexity of coding due to the need for precise documentation of injury details.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, but it has also increased the complexity of coding due to the need for precise documentation of injury details.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, but it has also increased the complexity of coding due to the need for precise documentation of injury details.

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

When should I use S01.80 instead of a more specific code?

Use S01.80 when the documentation does not specify the exact location of the open wound on the head, and no other specific codes apply.