ICD-10-CM Code S02.109A

Fracture of base of skull, unspecified side, initial encounter for closed fracture

Version 2020 Billable Code

Valid for Submission

S02.109A is a billable code used to specify a medical diagnosis of fracture of base of skull, unspecified side, initial encounter for closed fracture. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S02.109A might also be used to specify conditions or terms like cerebral laceration and contusion, closed fracture of base of skull, closed fracture of base of skull with cerebral laceration and/or contusion, closed fracture of base of skull with concussion, closed fracture of base of skull with intracranial hemorrhage, closed fracture of base of skull with intracranial injury, etc

ICD-10:S02.109A
Short Description:Fracture of base of skull, unspecified side, init
Long Description:Fracture of base of skull, unspecified side, initial encounter for closed fracture

Synonyms

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

  • Cerebral laceration and contusion
  • Closed fracture of base of skull
  • Closed fracture of base of skull with cerebral laceration AND/OR contusion
  • Closed fracture of base of skull with concussion
  • Closed fracture of base of skull with intracranial hemorrhage
  • Closed fracture of base of skull with intracranial injury
  • Closed fracture of base of skull with intracranial injury, with no loss of consciousness
  • Closed fracture of base of skull with loss of consciousness
  • Closed fracture of base of skull without intracranial injury
  • Closed skull fracture with cerebral laceration AND/OR contusion
  • Closed skull fracture with intracranial hemorrhage
  • Closed skull fracture with intracranial injury
  • Closed skull fracture without intracranial injury
  • Fracture of base of skull
  • Fracture of ethmoid sinus
  • Open fracture of base of skull
  • Open fracture of base of skull with cerebral laceration AND contusion
  • Open fracture of base of skull with intracranial hemorrhage
  • Open fracture of base of skull with intracranial injury
  • Open fracture of base of skull with intracranial injury, with no loss of consciousness
  • Open fracture of base of skull without intracranial injury
  • Open skull fracture with intracranial injury
  • Open skull fracture without intracranial injury

Replacement Code

S02109A replaces the following previously assigned ICD-10 code(s):

  • S02.10XA - Unsp fracture of base of skull, init for clos fx

Convert S02.109A to ICD-9

  • 801.00 - Clos skull base fracture (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the head (S00-S09)
      • Fracture of skull and facial bones (S02)

Code History

  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


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Head Injuries

Chances are you've bumped your head before. Often, the injury is minor because your skull is hard and it protects your brain. But other head injuries can be more severe, such as a skull fracture, concussion, or traumatic brain injury.

Head injuries can be open or closed. A closed injury does not break through the skull. With an open, or penetrating, injury, an object pierces the skull and enters the brain. Closed injuries are not always less severe than open injuries.

Some common causes of head injuries are falls, motor vehicle accidents, violence, and sports injuries.

It is important to know the warning signs of a moderate or severe head injury. Get help immediately if the injured person has

  • A headache that gets worse or does not go away
  • Repeated vomiting or nausea
  • Convulsions or seizures
  • An inability to wake up
  • Dilated (enlarged) pupil in one or both eyes
  • Slurred speech
  • Weakness or numbness in the arms or legs
  • Loss of coordination
  • Increased confusion, restlessness, or agitation

Doctors use a neurologic exam and imaging tests to make a diagnosis. Treatment depends on the type of injury and how severe it is.

NIH: National Institute of Neurological Disorders and Stroke


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