2025 ICD-10-CM code S00.2
(Active) Effective Date: N/A Revision Date: N/A Injury - Injuries to the head Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Other and unspecified superficial injuries of the eyelid and periocular area.
Modifiers may apply depending on the specific circumstances of the encounter and the services provided. For example, modifiers might be used to specify the location of service, the type of service, or the provider's role.
Medical necessity is established by the presence of a clinically significant injury requiring medical attention, such as cleaning and dressing the wound to prevent infection or pain management. If there is no clinically significant injury, the code should not be used.
The clinical responsibility involves evaluating the patient's injury, determining its severity, administering appropriate pain relief (analgesics), cleaning and dressing the wound to prevent infection, potentially applying adhesive strips or an eye patch, and determining if antibiotics or surgical repair is necessary. The diagnosis is based on a physical examination and the patient's history.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S00-S09 (Injuries to the head)
In simple words: This code describes minor scrapes or cuts on the eyelid or the area around the eye. It's used when the exact type of injury isn't known or documented.
This code represents superficial injuries to the eyelid and surrounding tissues (periocular area) that are not specified or are otherwise uncategorized within more specific ICD-10-CM codes.These injuries are typically minor abrasions or wounds with minimal bleeding or swelling.The cause of the injury may be unknown or not documented.
Example 1: A patient presents to the emergency room after a minor fall, sustaining a superficial abrasion on their eyelid. No significant bleeding or swelling is present.S00.2 is the appropriate code., A patient reports a small scratch to their periocular area following a minor surgical procedure. The wound is superficial and heals without complication. S00.2 is used., A child falls and sustains a small superficial wound near their eye. The injury is not severe, and the specific details of the injury aren't available in the documentation; S00.2 is appropriate in this instance.
Patient's history, physical examination findings documenting the location and nature of the injury, description of the treatment rendered.
** This code is primarily used for superficial injuries where more specific codes are not applicable.Always ensure that the documentation supports the use of S00.2 and that more specific codes are not more appropriate.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Emergency Medicine, Ophthalmology, Plastic Surgery
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility