2025 ICD-10-CM code S01.102
(Active) Effective Date: N/A Revision Date: N/A Injury - Injuries to the head (S00-S09) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Unspecified open wound of left eyelid and periocular area.
Medical necessity is established by the presence of an open wound requiring medical attention.
Diagnosis is based on patient history of trauma and physical examination of the wound. Treatment may include stopping bleeding, cleaning and repairing the wound, topical medication, dressings, and pain relievers.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: An unspecified open wound around the left eye. This means there's a break in the skin around your left eyelid, and the doctor hasn't specified what kind of wound it is.
Unspecified open wound of left eyelid and periocular area. This code describes an injury where the skin or underlying tissues around the left eyelid are broken, typically with bleeding. The specific type of wound (e.g., laceration, abrasion) is not specified.
Example 1: A patient presents with a cut on their left eyelid after being scratched by a cat. The wound is bleeding slightly., A patient is struck by a flying object near their left eye, resulting in a torn and bruised eyelid., A child falls and scrapes the skin around their left eye on a rough surface.
Documentation should include the type of wound, location (left eyelid and periocular area), laterality (left), presence of any foreign body, associated conditions (e.g., infection), and the encounter type (e.g., initial evaluation, follow-up).
- Specialties:Ophthalmology, Emergency Medicine, General Surgery, Plastic Surgery
- Place of Service:Office, Home, Hospital (Inpatient or Outpatient), Emergency Room - Hospital, Urgent Care Facility,Outreach Site/Street, Military Treatment Facility, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home.