2025 ICD-10-CM code S02.82XS
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Fractures of skull and facial bones Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Sequela of fracture of other specified skull and facial bones on the left side.
Medical necessity is established by documenting the presence of persistent symptoms or functional impairments directly attributable to the healed fracture.These sequelae should impact the patient's activities of daily living and require ongoing medical care or intervention.
The clinical responsibility for this code involves documenting the long-term effects of a skull or facial fracture, including neurological deficits, cosmetic disfigurement, pain, and functional limitations.Appropriate imaging studies and clinical examinations are crucial for assessing the sequelae and determining the appropriate level of care.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S00-S09 (Injuries to the head)
In simple words: This code is for long-term problems that remain after a broken bone in the skull or face (on the left side) has healed. This includes any ongoing issues from the injury.
This code signifies the late effects (sequelae) of a fracture affecting unspecified bones of the skull or face on the left side of the body.It is used to report long-term consequences of such a fracture after the initial healing phase is complete.The code should not be used for the acute fracture itself, but rather for any lingering complications or residual impairments resulting from the fracture.
Example 1: A patient presents with persistent facial numbness and paresthesia six months after a motor vehicle accident resulting in a left zygomatic arch fracture.The initial fracture has healed, but the sequelae warrant ongoing treatment and monitoring., A patient experiences chronic headaches and temporomandibular joint dysfunction a year after a left-sided skull fracture sustained during a fall. This code would be used to report the persistent symptoms related to the healed fracture., A patient exhibits malocclusion and facial asymmetry as a result of a left-sided mandible fracture sustained during an assault. Despite the fracture healing, the cosmetic and functional sequelae necessitate ongoing reconstructive surgery and orthodontic intervention.
Detailed medical history, including the mechanism of injury, initial treatment of the fracture, and date of injury.Imaging studies (X-rays, CT scans) demonstrating the healed fracture and any residual abnormalities.Documentation of ongoing symptoms and functional limitations related to the fracture.Notes on any treatments or interventions provided for managing the sequelae.
** This code is specifically for sequelae (late effects) of the fracture.The seventh character in the code (X) indicates the sequela.
- Payment Status: Active
- Specialties:Oral and Maxillofacial Surgery, Neurosurgery, Plastic Surgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center