2025 ICD-10-CM code S00.0
(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
Superficial injury of the scalp.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided.
Medical necessity is established by the presence of a superficial scalp wound requiring treatment to prevent infection, manage pain, and promote healing.
Providers diagnose the condition based on the patient's history and physical examination. Treatment options include analgesics for pain, wound dressing and cleaning to prevent infection, adhesive strips to close the wound, antibiotics, or minor surgical repair if needed.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: A minor scrape or cut on the scalp with little or no bleeding or swelling. This can happen from a fall, accident, or surgery.It might be painful, swollen, red, or tender. Treatment may include pain relievers, cleaning the wound to prevent infection, and possibly stitches or antibiotics.
A superficial injury of the scalp involves a minimal scrape or wound with minimal bleeding, if any, or swelling of the affected area.This type of injury may result from a fall, accident, or surgery.The injury may cause pain, swelling, bleeding, redness, warmth, and tenderness in the affected area. Treatment may include analgesics for pain relief, wound dressing and cleaning to prevent infection, adhesive strips to close the wound, antibiotics to prevent infection, or minor surgical repair if needed.
Example 1: A patient falls and scrapes their scalp during a sporting event. The wound is superficial with minimal bleeding. , A patient undergoes scalp surgery, resulting in a minor superficial wound. , A child experiences a minor scalp laceration from a fall at home, exhibiting only minimal bleeding and swelling.
Patient history detailing the mechanism of injury, physical examination findings documenting the location, size, and depth of the wound, and any treatment provided (e.g., wound cleaning, closure, medication administration).
** This code is for superficial scalp injuries only and excludes more serious injuries like skull fractures, brain injuries, or deep wounds.Always code to the highest level of specificity.
- Payment Status: Active
- Specialties:Emergency Medicine, General Surgery, Plastic Surgery
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility