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ICD-10 Guide
ICD-10 CodesChapter 19: Injury, poisoning and other consequences of external causesS02

S02

Non-billable

Fracture of skull and facial bones

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

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

Code Description

ICD-10 S02 is a used to indicate a diagnosis of fracture of skull and facial bones.

Key Diagnostic Point:

The S02 category in the ICD-10 coding system pertains to fractures of the skull and facial bones. This category encompasses a variety of conditions, including but not limited to fractures of the cranial vault, facial bones such as the nasal bones, maxilla, and mandible, as well as complex skull base fractures. These injuries can result from various mechanisms, including trauma from falls, vehicular accidents, or sports-related incidents. Clinically, fractures in this category can lead to significant complications, such as intracranial hemorrhage, nerve damage, and facial deformities, necessitating prompt diagnosis and intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of fracture types
  • Potential for associated injuries
  • Need for imaging and surgical intervention

Audit Risk Factors

  • Inaccurate coding of fracture types
  • Failure to document associated injuries
  • Inadequate follow-up care documentation

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

Orthopedic 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The S02 category has significant clinical and administrative implications. Clinically, accurate coding of skull and facial bone fractures is crucial for patient management, as these injuries can lead to severe complications if not properly addressed. Administratively, proper coding impacts quality measures and reimbursement rates, influencing healthcare trends and resource allocation. As the population ages and the incidence of falls and trauma increases, understanding and accurately coding fractures in this category will be essential for improving patient outcomes and managing healthcare costs.

ICD-9 vs ICD-10

The S02 category has significant clinical and administrative implications. Clinically, accurate coding of skull and facial bone fractures is crucial for patient management, as these injuries can lead to severe complications if not properly addressed. Administratively, proper coding impacts quality measures and reimbursement rates, influencing healthcare trends and resource allocation. As the population ages and the incidence of falls and trauma increases, understanding and accurately coding fractures in this category will be essential for improving patient outcomes and managing healthcare costs.

Reimbursement & Billing Impact

reimbursement rates, influencing healthcare trends and resource allocation. As the population ages and the incidence of falls and trauma increases, understanding and accurately coding fractures in this category will be essential for improving patient outcomes and managing healthcare costs.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for S02

Coding & Billing References

  • •
    Official ICD-10 Guidelines for S02

Frequently Asked Questions

What conditions are included in S02?

The S02 category includes fractures of the skull, such as linear skull fractures, depressed skull fractures, and fractures of the facial bones, including the nasal bones, zygomatic bones, and mandible.

When should I use S02 codes?

S02 codes should be used when a patient presents with a documented fracture of the skull or facial bones, particularly when imaging studies confirm the diagnosis.

What documentation is required for S02?

Documentation should include the mechanism of injury, specific type of fracture, imaging results, and any associated injuries or complications.