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ICD-10 Guide
ICD-10 CodesS02.19

S02.19

Billable

Other fracture of base of skull

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

Code Description

ICD-10 S02.19 is a billable code used to indicate a diagnosis of other fracture of base of skull.

Key Diagnostic Point:

The code S02.19 is used to classify fractures of the base of the skull that do not fall into more specific categories. These fractures can occur due to various mechanisms of injury, including blunt trauma from falls, motor vehicle accidents, or assaults. The base of the skull is a critical area that houses vital structures, including the brainstem and cranial nerves, making these injuries potentially life-threatening. Symptoms may include headache, confusion, loss of consciousness, and neurological deficits. Diagnosis typically involves imaging studies such as CT scans or MRIs to assess the extent of the fracture and any associated intracranial injuries. Management may require surgical intervention, especially if there is significant displacement or if the fracture compromises neurological function. Complications can include cerebrospinal fluid leaks, infections, and long-term neurological impairment. Accurate coding is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential mechanisms of injury
  • Need for precise documentation of injury details
  • Differentiation from other skull fractures
  • Potential for associated intracranial injuries

Audit Risk Factors

  • Inadequate documentation of injury mechanism
  • Failure to specify associated intracranial injuries
  • Misclassification of fracture type
  • Lack of clarity in clinical notes regarding treatment

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, neurological assessment, and imaging results.

Common Clinical Scenarios

Patients presenting with head trauma after a fall or vehicular accident.

Billing Considerations

Ensure that all relevant symptoms and diagnostic tests are documented to support the coding.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, findings, and any repairs made to the skull base.

Common Clinical Scenarios

Surgical intervention for displaced fractures or those causing neurological compromise.

Billing Considerations

Accurate coding requires clear documentation of the surgical procedure and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S02.19 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific type of fracture and any associated injuries
  • Documentation must support the diagnosis and any treatments provided

Exclusion Criteria

Do NOT use S02.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61510CPT Code

Craniotomy, for excision of tumor, or for drainage of abscess or hematoma

Clinical Scenario

Used when surgical intervention is required for a fracture at the base of the skull.

Documentation Requirements

Operative report must detail the procedure performed and findings.

Specialty Considerations

Neurosurgical documentation should include specifics about the fracture and any repairs made.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of skull fractures, improving the accuracy of data collection and reimbursement processes. S02.19 provides a means to capture less common fracture types that may have previously been grouped under broader categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skull fractures, improving the accuracy of data collection and reimbursement processes. S02.19 provides a means to capture less common fracture types that may have previously been grouped under broader categories.

Reimbursement & Billing Impact

reimbursement processes. S02.19 provides a means to capture less common fracture types that may have previously been grouped under broader categories.

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 are the common causes of fractures at the base of the skull?

Common causes include falls, motor vehicle accidents, and blunt force trauma. Each mechanism can lead to different types of fractures and associated complications.