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ICD-10 Guide
ICD-10 CodesS02.80

S02.80

Billable

Fracture of other specified skull and facial bones, unspecified side

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

Code Description

ICD-10 S02.80 is a billable code used to indicate a diagnosis of fracture of other specified skull and facial bones, unspecified side.

Key Diagnostic Point:

Fractures of the skull and facial bones can occur due to various mechanisms of injury, including blunt trauma, falls, or vehicular accidents. The term 'other specified skull and facial bones' encompasses fractures that do not fall into the more commonly categorized fractures, such as those of the frontal, parietal, or maxillary bones. These fractures may involve the zygomatic arch, nasal bones, or other less frequently injured areas. Clinical presentation often includes localized pain, swelling, and possible neurological symptoms depending on the fracture's location and severity. Diagnostic imaging, such as CT scans, is crucial for accurate assessment and management. Treatment may range from conservative management with pain control and observation to surgical intervention for stabilization and repair. Complications can include infection, chronic pain, or neurological deficits, particularly if the fracture involves the base of the skull or is associated with significant displacement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential fracture sites within the skull and facial bones
  • Need for precise documentation of the mechanism of injury
  • Differentiation from other skull fractures that have specific codes
  • Potential for associated injuries requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact location of the fracture
  • Misclassification of fractures that should be coded to more specific codes
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the patient's history, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with head trauma from falls, assaults, or motor vehicle accidents.

Billing Considerations

Ensure that all relevant imaging studies and neurological assessments are documented.

Surgery

Documentation Requirements

Detailed operative reports including the type of fracture, surgical approach, and any hardware used.

Common Clinical Scenarios

Surgical repair of complex skull fractures or facial reconstructions.

Billing Considerations

Document any pre-existing conditions that may affect surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S02.80 When
  • Follow the ICD
  • CM guidelines for coding fractures, ensuring that the specific site and type of fracture are documented
  • Use additional codes for associated injuries or complications as necessary

Exclusion Criteria

Do NOT use S02.80 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20680CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in cases where joint involvement is suspected due to facial fractures.

Documentation Requirements

Document the joint involved and the reason for the procedure.

Specialty Considerations

Ensure that the procedure is justified based on clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for research and treatment outcomes. S02.80 provides a means to capture less common fractures that may have been overlooked in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for research and treatment outcomes. S02.80 provides a means to capture less common fractures that may have been overlooked in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for research and treatment outcomes. S02.80 provides a means to capture less common fractures that may have been overlooked in ICD-9.

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 is the importance of specifying the mechanism of injury?

Specifying the mechanism of injury is crucial for accurate coding and understanding the potential complications associated with the fracture. It also aids in determining the appropriate treatment plan.