2025 ICD-10-CM code S00.91XS
(Active) Effective Date: N/A Injury - Injuries to the head (S00-S09) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Abrasion of unspecified part of the head, sequela. This condition refers to a late effect or residual condition resulting from a previous abrasion (scrape) on an unspecified area of the head.
Medical necessity for using this code is established by the presence of a sequela or late effect directly related to a previous head abrasion. The documentation should clearly link the current symptoms to the prior injury.
Providers diagnose this condition based on the patient's history of a prior head abrasion and a physical examination. Treatment focuses on managing any residual symptoms, which may include pain, tenderness, scarring, or other complications.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: This code describes the lasting effects of a minor scrape on your head.Even though the original scrape may have healed, you are still experiencing some problems related to it.
Abrasion of unspecified part of the head, sequela.A sequela is a condition that is the consequence of a previous injury or illness. In this case, the code describes the long-term effects of an abrasion (a superficial scrape) on an unspecified area of the head. The original injury might have healed, but some residual effects persist.
Example 1: A patient had a head abrasion a year ago. They now experience persistent headaches and sensitivity in the area of the original injury., Following a head abrasion, a patient develops a chronic skin infection at the site of the injury., A patient experiences permanent nerve damage resulting in numbness or tingling in the area of a previous head abrasion.
Documentation should include a history of the original head abrasion, details about the current symptoms, and the findings of the physical examination. Any diagnostic tests performed to evaluate the sequela should also be documented.
** This code should not be used for birth trauma (P10-P15) or obstetric trauma (O70-O71). It refers specifically to the late effects of an abrasion, not the acute injury itself.
- Specialties:Emergency Medicine, Primary Care, Dermatology, Neurology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital