Not Valid for Submission
S01.409 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified open wound of unspecified cheek and temporomandibular area. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
The ICD-10-CM code S01.409 might also be used to specify conditions or terms like avulsion of maxilla, fracture of angle of mandible, fracture of coronoid process of mandible, fracture of subcondylar process of mandible, fracture of zygomatic process , glass in cheek, etc.
Unspecified diagnosis codes like S01.409 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.
The appropriate 7th character is to be added to each code from block Open wound of head (S01). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Specific Coding for Unsp open wound of unsp cheek and temporomandibular area
Non-specific codes like S01.409 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for unsp open wound of unsp cheek and temporomandibular area:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Avulsion of maxilla
- Fracture of angle of mandible
- Fracture of coronoid process of mandible
- Fracture of subcondylar process of mandible
- Fracture of zygomatic process
- Glass in cheek
- Glass in face
- Glass in head
- Open dislocation of jaw
- Open division, jaw ligament
- Open division, temporomandibular ligament
- Open fracture of facial bones
- Open fracture of mandible, angle of jaw
- Open fracture of mandible, condylar process
- Open fracture of mandible, coronoid process
- Open fracture of mandible, subcondylar
- Open fracture of ramus of mandible
- Open fracture of zygoma
- Open fracture of zygomatic arch
- Open fracture of zygomatic tripod
- Open subluxation jaw
- Open wound of cheek
- Open wound of cheek with complication
- Open wound of cheek without complication
- Open wound of jaw without complication
- Temporomandibular subluxation
- Traumatic dislocation of temporomandibular joint
Information for Patients
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]
Wounds and Injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.
Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.
Other common types of injuries include
- Animal bites
- Electrical injuries
- Fractures (broken bones)
- Sprains and strains
[Learn More in MedlinePlus]