2025 ICD-10-CM code S02.82XG

Subsequent encounter for fracture of other specified skull and facial bones on the left side, with delayed healing.

Use secondary codes from Chapter 20 (External causes of morbidity) to specify the cause of injury.If a retained foreign body is present, add code Z18.-

Modifiers may be applicable depending on the specific circumstances of the encounter and services provided. Consult the appropriate modifier guidelines for further details.

Medical necessity is established by the presence of a documented fracture with delayed healing, resulting in pain, functional limitations, or other complications.The need for further evaluation, treatment, and/or management of complications justifies the subsequent encounter.

The clinical responsibility would fall to the physician or specialist managing the patient's fracture care, likely an orthopedist or neurosurgeon depending on the location and severity. This includes monitoring healing progress, assessing complications, and determining further treatment.

IMPORTANT Consider additional codes for associated infections (e.g., from Chapter 1, certain infectious and parasitic diseases) and retained foreign bodies (Z18.-).Related codes include those for initial encounters (S02.82XA, S02.82XB) and other healing statuses (S02.82XD, S02.82XK, S02.82XS).

In simple words: This code is for a follow-up visit after a broken bone in the skull or face (on the left side). The bone is not healing as expected.

This ICD-10-CM code classifies a subsequent encounter for a fracture affecting unspecified skull and facial bones located on the left side of the body.The healing process is characterized as delayed.This code is used for patients who have previously received treatment for the fracture and are now experiencing complications or delayed healing.

Example 1: A patient presents three months after a motor vehicle accident resulting in a left-sided zygomatic fracture. Despite initial treatment, imaging shows delayed bone union., A patient with a history of a left-sided facial fracture from a fall is seen for persistent pain and limited jaw movement due to slow healing., Post-surgical follow-up appointment for a patient who underwent open reduction and internal fixation of a left-sided temporal bone fracture; healing is delayed due to infection.

Detailed history of the injury, including mechanism of injury and initial treatment.Imaging reports (X-rays, CT scans) documenting the fracture and delayed healing.Physician notes outlining treatment plan, assessment of healing, and management of any complications.Documentation of any interventions for infection or other complications.

** This code is specifically for subsequent encounters where healing is delayed.If the initial encounter is for an open fracture, code S02.82XB should be used.If the initial encounter is a closed fracture, use S02.82XA.The unspecified side codes (S02.80XG, S02.81XG, etc.) should be used when the side of the fracture is unknown.

  • Payment Status: Active
  • Specialties:Orthopedics, Neurosurgery, Oral and Maxillofacial Surgery
  • Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center
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