Facial Laceration ICD-10-CM Codes

What are Facial Laceration ICD-10-CM Codes? 

Facial lacerations are among the most frequent traumatic injuries encountered in emergency and outpatient settings. These injuries often involve open wounds, and their management can be complex, especially when they affect sensitive areas.

Proper medical treatment must be paired with precise documentation and coding using the ICD-10-CM system for successful billing, patient tracking, and outcome measurement.

Common ICD-10 codes for facial laceration are as follows:

• S01.01XA: Laceration without foreign body of scalp, initial encounter
• S01.02XA: Laceration with foreign body of scalp, initial encounter
• S01.111A: Laceration without foreign body of right eyelid and periocular area, initial encounter
• S01.112A: Laceration without foreign body of left eyelid and periocular area, initial encounter
• S01.21XA: Laceration without foreign body of nose, initial encounter
• S01.319A: Laceration without foreign body of unspecified ear, initial encounter
• S01.411A: Laceration without foreign body of right cheek and temporomandibular area, initial encounter
• S01.81XA: Laceration without foreign body of other part of head, initial encounter
• S01.92XA: Laceration with foreign body of unspecified part of head, initial encounter

There are also other related codes for specific or unspecified open wounds for the part of the head or face.

Which Facial Laceration ICD-10-CM Codes are billable?

All the codes listed above are billable as long as the medical records include thorough documentation and the injury is appropriately assessed.

Clinical information

• Nature of facial lacerations: These injuries involve skin breaks, sometimes extending into muscle, tendon, or subcutaneous tissue, often from trauma, accidents, or open bites.
• Severity levels: Ranging from minor abrasions to deep puncture wounds and traumatic injuries with foreign body involvement, especially when laceration with foreign body occurs in sensitive regions like the orbit or temporomandibular area.
• Anatomical relevance: Lacerations involving the mouth, nose, eye, cheek, or scalp demand special attention due to potential functional and cosmetic complications.
• Wound management: Treatment may involve cleaning, suturing, removal of foreign bodies, and instructions to prevent infection and scarring. Some cases may require assessment of healing progress and follow-up procedures.
• Multidisciplinary approach: Specialists such as plastic surgeons, oral surgeons, and dermatologists may be involved, especially for complex lacerations, disorders of facial structure, or where scarring is a concern.

Synonyms include

• Facial cuts
• Facial wounds
• Face gashes
• Facial tears
• Face incisions
• Facial laceration w o foreign body
• Facial laceration w foreign body
• Facial laceration wound without foreign body