2025 ICD-10-CM code S01.401
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Injuries to the head (S00-S09) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Unspecified open wound of the right cheek and temporomandibular area.
Modifiers may be applicable depending on the circumstances of the service provided and the payer's specific requirements.
Medical necessity is established by the presence of an open wound requiring treatment to prevent infection, promote healing, and restore function. The severity of the wound and the potential for complications will influence the level of medical necessity.
Diagnosis is based on patient history, physical examination (assessing wound and jaw mobility), and imaging (X-rays). Treatment may include hemostasis, wound cleaning/debridement/repair, topical medication/dressing, analgesics, antibiotics, tetanus prophylaxis, NSAIDs, and infection treatment.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: This code describes an open wound on the right side of the face, near the jaw. It's an unspecified wound, meaning the exact type or cause isn't detailed.This kind of injury can cause pain, bleeding, swelling, and problems moving the jaw.
This code refers to an unspecified open wound located on the right cheek and temporomandibular area.The wound is not further specified and is not covered by any other, more specific code. It represents a break in the skin or mucous membrane, potentially with or without bleeding.The temporomandibular joint (TMJ) is the area where the temporal bone (at the base of the skull) and mandible (lower jaw bone) meet.The injury may involve pain, bleeding, swelling, infection, inflammation, and restricted jaw movement.
Example 1: A patient presents to the emergency room after a fall, sustaining a laceration to the right cheek near the TMJ.The wound is cleaned, sutured, and the patient receives tetanus prophylaxis., A patient is involved in a motor vehicle accident and sustains an avulsion injury to the right cheek, exposing the underlying muscle and bone. Surgical debridement and repair are performed, followed by antibiotics to prevent infection., A child falls and suffers a small, superficial abrasion to the right cheek near the TMJ. The wound is cleaned, and a topical antibiotic ointment is applied.
Detailed description of the wound (size, depth, location), mechanism of injury, treatment rendered (including medications and dressings), and any imaging studies performed.Patient history of any relevant allergies or medical conditions is also important.
** This code should be used only when the wound is unspecified and not otherwise specified by another, more precise code. The 7th character is not applicable to this code.
- Payment Status: Active
- Specialties:Emergency Medicine, Oral and Maxillofacial Surgery, Plastic Surgery
- Place of Service:Emergency Room - Hospital, Office, Ambulatory Surgical Center