2020 ICD-10-CM Diagnosis Code S02

Fracture of skull and facial bones

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • S02 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM S02 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S02 - other international versions of ICD-10 S02 may differ.
Note
  • A fracture not indicated as open or closed should be coded to closed
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • any associated intracranial injury (
    ICD-10-CM Diagnosis Code S06
    • S06.0 Concussion
    • S06.1 Traumatic cerebral edema
    • S06.2 Diffuse traumatic brain injury
    • S06.3 Focal traumatic brain injury
    • S06.4 Epidural hemorrhage
    • S06.5 Traumatic subdural hemorrhage
    • S06.6 Traumatic subarachnoid hemorrhage
    • S06.8 Other specified intracranial injuries
    • S06.9 Unspecified intracranial injury
    S06.-
    )
The following code(s) above S02 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S02:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S00-S09
    2020 ICD-10-CM Range S00-S09

    Injuries to the head

    Code Also
    • for any associated infection
    Includes
    • injuries of ear
    • injuries of eye
    • injuries of face [any part]
    • injuries of gum
    • injuries of jaw
    • injuries of oral cavity
    • injuries of palate
    • injuries of periocular area
    • injuries of scalp
    • injuries of temporomandibular joint area
    • injuries of tongue
    • injuries of tooth
    Type 2 Excludes
    • burns and corrosions (T20-T32)
    • effects of foreign body in ear (T16)
    • effects of foreign body in larynx (T17.3)
    • effects of foreign body in mouth NOS (T18.0)
    • effects of foreign body in nose (T17.0-T17.1)
    • effects of foreign body in pharynx (T17.2)
    • effects of foreign body on external eye (T15.-)
    • frostbite (T33-T34)
    • insect bite or sting, venomous (T63.4)
    Injuries to the head
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to S02:
  • Code Also: S04
    , S06
    ICD-10-CM Diagnosis Code S04

    Injury of cranial nerve

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • The selection of side should be based on the side of the body being affected
    Code First
    • any associated intracranial injury (S06.-)
    Code Also
    • any associated:
    • open wound of head (S01.-)
    • skull fracture (S02.-)
    ICD-10-CM Diagnosis Code S06

    Intracranial injury

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • any associated:
    • open wound of head (S01.-)
    • skull fracture (S02.-)
    Includes
    • traumatic brain injury
    Note
    • 7th characters D and S do not apply to codes in category S06 with 6th character 7 - death due to brain injury prior to regaining consciousness, or 8 - death due to other cause prior to regaining consciousness.
    Type 1 Excludes
  • Code First: R40.2
    ICD-10-CM Diagnosis Code R40.2

    Coma

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • any associated:
    • fracture of skull (S02.-)
    • intracranial injury (S06.-)
    Note
    • One code from each subcategory, R40.21-R40.23, is required to complete the coma scale
  • Type 1 Excludes: S01
    ICD-10-CM Diagnosis Code S01

    Open wound of head

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • any associated:
    • injury of cranial nerve (S04.-)
    • injury of muscle and tendon of head (S09.1-)
    • intracranial injury (S06.-)
    • wound infection
    Type 1 Excludes
    • open skull fracture (S02.- with 7th character B)
    Type 2 Excludes
    • injury of eye and orbit (S05.-)
    • traumatic amputation of part of head (S08.-)
  • Use Additional: S07
    ICD-10-CM Diagnosis Code S07

    Crushing injury of head

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code for all associated injuries, such as:
    • intracranial injuries (S06.-)
    • skull fractures (S02.-)
ICD-10-CM Codes Adjacent To S02
S01.93XD …… subsequent encounter
S01.93XS …… sequela
S01.94 Puncture wound with foreign body of unspecified part of head
S01.94XA …… initial encounter
S01.94XD …… subsequent encounter
S01.94XS …… sequela
S01.95 Open bite of unspecified part of head
S01.95XA …… initial encounter
S01.95XD …… subsequent encounter
S01.95XS …… sequela
S02 Fracture of skull and facial bones
S02.0 Fracture of vault of skull
S02.0XXA …… initial encounter for closed fracture
S02.0XXB …… initial encounter for open fracture
S02.0XXD …… subsequent encounter for fracture with routine healing
S02.0XXG …… subsequent encounter for fracture with delayed healing
S02.0XXK …… subsequent encounter for fracture with nonunion
S02.0XXS …… sequela
S02.1 Fracture of base of skull
S02.10 Unspecified fracture of base of skull
S02.101 Fracture of base of skull, right side

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.