2025 ICD-10-CM code S01.1
Open wound of eyelid and periocular area. This includes injuries with or without involvement of lacrimal passages.
Medical necessity is established by the presence of an open wound requiring medical attention.Further treatment, such as wound repair or antibiotics, must be supported by appropriate documentation.
Diagnosis is based on patient history of trauma and physical examination focusing on the wound. Treatment includes controlling bleeding, cleaning and repairing the wound, applying medication and dressings, and pain management.
- S00-T88 Injury, poisoning and certain other consequences of external causes
- Injuries to the head (S00-S09)
In simple words: An open wound (cut or tear) on the eyelid or the skin around the eye.
Open wound of eyelid and periocular area with or without involvement of lacrimal passages.This code describes a break in the skin or tissue around the eye, often involving bleeding. It encompasses various types of open wounds in this region.
Example 1: A patient presents with a laceration to the left eyelid after being scratched by a cat. The laceration is documented as being 2 cm long and not involving the lacrimal duct. Code S01.112 would be appropriate., A patient sustains a deep cut above the right eye during a car accident, involving the lacrimal duct.Code S01.111 would be appropriate, along with codes reflecting the lacrimal duct injury., A child falls and gets a small superficial abrasion on their lower eyelid. This would be coded as S01.10.
Documentation should specify the type of wound (laceration, abrasion, puncture, etc.), location (right or left eyelid, periocular area), size and depth of the wound, involvement of lacrimal passages, presence of any foreign bodies, and any associated injuries or complications (infection, inflammation, etc.).
** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: open skull fracture (S02.- with 7th character B), injury of eye and orbit (S05.-), traumatic amputation of part of head (S08.-). Code also: any associated injury of cranial nerve (S04.-), injury of muscle and tendon of head (S09.1-), intracranial injury (S06.-), wound infection.
- Specialties:Ophthalmology, Emergency Medicine, Plastic Surgery
- Place of Service:Office, Home, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital,Ambulatory Surgical Center