2025 ICD-10-CM code S02.82XB
Open fracture of other specified skull and facial bones, left side, initial encounter.
Modifiers may be applicable to further specify the circumstances of the encounter.
Medical necessity is established by the presence of a fracture and the need for treatment. Open fractures often require urgent medical attention due to the risk of infection.
In simple words: This code describes a first-time visit for a broken bone on the left side of the skull or face, where the skin is also broken due to the injury.
Fracture of other specified skull and facial bones, left side, initial encounter for open fracture
Example 1: A patient fell and hit their left temple on a sharp rock, resulting in a visible broken bone with a laceration over the fracture site. This is their first visit for this injury., A patient was in a car accident and sustained an open fracture of the left zygomatic bone. They present to the emergency room for the first time for treatment. , A patient was assaulted and suffered a blow to the left side of their face, resulting in an open fracture of the nasal bone. This is their initial encounter for this injury.
Documentation should include details of the injury mechanism, the specific bone(s) involved, and the presence of the open wound. Imaging reports confirming the fracture should also be included.
** For subsequent encounters for this fracture, use S02.82XK if there is nonunion, S02.82XD for subsequent encounter for healing fracture, S02.82XS for sequela.
- Specialties:Emergency Medicine, Trauma Surgery, Orthopedic Surgery, Maxillofacial Surgery, Plastic Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office