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2025 ICD-10-CM code S02.80

Fracture of other specified skull and facial bones, unspecified side.

Code S02.80 only when the fracture cannot be assigned to a more specific code within the S02 category.Additional codes may be necessary to specify the laterality (right or left) and associated injuries (e.g., intracranial hemorrhage).If the fracture is open (compound), additional codes will be necessary to reflect this.

Modifiers may be applicable depending on the circumstances of the encounter and the specific services provided. Consult the appropriate coding guidelines.

Medical necessity is established through the presence of a fracture of the skull or facial bones, supported by clinical findings and imaging studies. The treatment is medically necessary to restore anatomical alignment, stabilize the fracture, reduce pain, and prevent complications.

Diagnosis and treatment of skull and facial bone fractures, including imaging (X-ray, CT), surgical repair (if necessary), pain management, and monitoring for complications such as infection or intracranial injury.Physician needs to specify affected side if possible.

IMPORTANT Consider S02.81 (right side) or S02.82 (left side) if laterality is specified.Code also any associated intracranial injury (S06.-) and retained foreign bodies (Z18.-).

In simple words: This code describes a broken bone in the skull or face that is not one of the specific types already listed in the ICD-10 coding system, and the doctor hasn't specified whether it's on the right or left side.

This ICD-10-CM code classifies fractures affecting unspecified skull and facial bones, excluding those specifically listed elsewhere.It encompasses fractures not categorized as open or closed, and requires additional coding for associated intracranial injuries (S06.-) and retained foreign bodies (Z18.-).The unspecified side necessitates further clinical documentation to specify right or left side involvement.

Example 1: A patient presents after a motor vehicle accident with a facial fracture. Imaging reveals a fracture of the zygomatic arch. The physician codes S02.80,since the specific type of facial fracture is not listed in more specific codes., A patient falls and sustains a fracture of an unspecified skull bone. Imaging studies demonstrate a linear fracture of the parietal bone. The correct code is S02.80 because the location is unspecified., A patient presents to the emergency department with a complex fracture involving multiple skull and facial bones.After surgical intervention, a detailed assessment is conducted and documented with imaging studies (CT scan) to provide the specific fractured bones and specify laterality. The initial diagnosis would be S02.80, but the detailed report might change the assigned code once the fractured bones are correctly specified.

Detailed clinical history, physical examination findings, imaging reports (X-rays, CT scans), operative reports (if applicable), and any other relevant documentation supporting the diagnosis are required.Specify the affected side if possible.

** This code is very broad.Accurate coding requires detailed clinical documentation that specifies the affected bone(s) and side whenever possible to select a more specific code.

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