2024 ICD-10-CM Diagnosis Code S09.93XS

Unspecified injury of face, sequela

ICD-10-CM Code:
S09.93XS
ICD-10 Code for:
Unspecified injury of face, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the head
      (S00-S09)
      • Other and unspecified injuries of head
        (S09)

S09.93XS is a billable diagnosis code used to specify a medical diagnosis of unspecified injury of face, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

S09.93XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like unspecified injury of face. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Unspecified diagnosis codes like S09.93XS are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Cheek injury
  • Chin injury
  • Concussion of periodontal ligament
  • Concussion of tooth
  • Damage to supporting structure of tooth
  • Damage to tooth with pulpal involvement
  • Dental trauma
  • Erythema of mucous membrane of mouth
  • Erythema of mucous membrane of mouth due to and following traumatic injury
  • Exposure of pulp of tooth due to dental trauma
  • Exposure of tooth pulp
  • Foreign body in lip
  • Foreign body in lip
  • Fragmentation of salivary gland
  • Gingival disease due to traumatic physical injury
  • Gum injury
  • Hyperkeratosis of mucous membrane of mouth due to and following traumatic injury
  • Hypomineralization of enamel of tooth
  • Hypomineralization of tooth
  • Injury of dental structures
  • Injury of eyebrow
  • Injury of face
  • Injury of face and neck
  • Injury of lip
  • Injury of mandible
  • Injury of mastoid
  • Injury of mouth
  • Injury of periodontal tissue
  • Injury of periodontal tissue
  • Injury of salivary apparatus
  • Injury of salivary duct
  • Injury of salivary gland
  • Injury of salivary gland papilla
  • Injury of soft tissue of face
  • Injury of tongue
  • Injury of tooth
  • Injury resulting from operations of war
  • Injury to eyelid
  • Jaw injury
  • Localized enamel hypomineralization associated with localized trauma
  • Localized enamel hypoplasia
  • Localized enamel hypoplasia associated with localized trauma
  • Localized secondary occlusal trauma
  • Mucous membrane erythema
  • Multiple injuries of digestive system
  • Multiple injuries of face
  • Multiple injuries of mouth
  • Occlusal trauma
  • Open wound of face with foreign body
  • Open wound of face without complication
  • Pain due to dental trauma
  • Secondary occlusal trauma
  • Self inflicted injury of lip
  • Splinter in face
  • Splinter in face
  • Traumatic complication of procedure
  • Traumatic oral ulceration
  • Traumatic overbite
  • Traumatic ulceration of gingiva due to brushing of teeth
  • Traumatized incisor
  • Ulceration of gingivae
  • War injury - face
  • Wood splinter in face
  • Wood splinter in head
  • Wood splinter in head
  • Wood splinter in head
  • Wood splinter in lip
  • Wood splinter in mouth

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Any dental condition including traumatic injuryDEN001N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Injury, sequelaINJ073Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Other and unspecified injuries of head (S09). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Present on Admission (POA)

S09.93XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S09.93XS to ICD-9-CM

  • ICD-9-CM Code: 908.9 - Late effect injury NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Facial Injuries and Disorders

Face injuries and disorders can cause pain and affect how you look. In severe cases, they can affect sight, speech, breathing and your ability to swallow. Fractures (broken bones), especially in the bones of your nose, cheekbone and jaw, are common facial injuries.

Certain diseases also lead to facial disorders. For example, nerve diseases like trigeminal neuralgia or Bell's palsy sometimes cause facial pain, spasms and trouble with eye or facial movement. Birth defects can also affect the face. They can cause underdeveloped or unusually prominent facial features or a lack of facial expression. Cleft lip and palate are a common facial birth defect.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.