2025 ICD-10-CM code S01.01XS
(Active) Effective Date: N/A Injury, poisoning and certain other consequences of external causes - Injuries to the head S00-T88 Feed
Laceration without foreign body of the scalp, sequela.This signifies a late effect (sequela) of a cut or tear in the scalp that did not involve a foreign object.
Medical necessity for treatment of the sequela should be established by documenting the impact on the patient's quality of life and the appropriateness of the chosen intervention.
Physicians typically diagnose this condition based on a patient's history of trauma and a physical examination of the wound.Imaging studies, like X-rays, might be used to rule out fractures or embedded foreign material. Treatment often involves cleaning and repairing the wound, applying medication and dressings, and pain management. If there's a risk of infection, antibiotics and a tetanus booster might be given.
In simple words: This code refers to a long-term effect of a cut on the scalp that didn't have anything stuck in it.
A laceration is a deep cut or tear in the skin or flesh. This code describes such an injury to the scalp that did not involve any foreign body remaining in the wound. The XS extension indicates that this is a sequela, meaning a condition that is a consequence of a previous injury or illness. For example, persistent pain, numbness, or scarring resulting from the original laceration would be coded as a sequela.
Example 1: A patient presents with chronic headaches and scalp sensitivity, a sequela of a laceration they sustained a year ago., A patient experiences persistent numbness in the area of a previous scalp laceration, impacting their daily activities., A patient develops significant scar tissue at the site of an old scalp laceration, causing discomfort and cosmetic concerns.
Documentation should include details about the original injury, the nature of the sequela, how it impacts the patient's function, and any treatment provided for the sequela.
- Specialties:Emergency Medicine, General Surgery, Plastic Surgery
- Place of Service:Office, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital, Outpatient Hospital