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2025 ICD-10-CM code S02.80XG

Fracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with delayed healing.

Use secondary codes from Chapter 20 (External causes of morbidity) to specify the cause of the initial injury. If a foreign body is retained at the fracture site, use the appropriate Z18.- code.

Medical necessity for the subsequent encounter should be clearly documented, indicating the reason for the follow-up visit and the need for continued care due to the delayed healing.

In simple words: This code represents a follow-up visit for a fracture in the skull or face area that is not healing as expected. The fracture is in a location not otherwise specified in the ICD-10 coding system.

Fracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with delayed healing. This code describes a delayed healing fracture of the skull or facial bones, excluding specific fractures like those of the orbital floor or roof. It is used for subsequent encounters after the initial injury.

Example 1: A patient initially presented with a fracture of the zygomatic bone (cheekbone) a few weeks ago. The fracture is not healing properly and the patient returns for a follow-up visit. The code S02.80XG would be used to describe this delayed healing fracture., A patient was previously diagnosed with a fracture of the nasal bone and has been receiving treatment. The patient comes back for a follow-up appointment, but healing has not progressed as expected, representing delayed healing. S02.80XG would be used for this visit. , A patient who suffered a complex facial fracture involving multiple unspecified bones returns for a follow-up visit. The physician notes that the fractures are showing signs of delayed healing and require further intervention. S02.80XG accurately reflects this scenario.

Documentation should support the delayed healing of the fracture, detailing the specific location on the skull or face, the type of fracture, and evidence of slow or incomplete healing.

** This code specifically addresses fractures with delayed healing. For routine healing, nonunion, or sequelae of fractures to the skull and facial bones, other 7th character extensions (D, K, and S, respectively) should be used. Be mindful of specific codes for particular facial bone fractures (e.g., orbital floor, orbital roof) that are excluded from this category.

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