Scalp Laceration ICD-10-CM Codes

What ICD-10 Codes are Used for Scalp Laceration?

Scalp lacerations, a common type of wound often resulting from trauma or accidents, are classified by specific ICD-10-CM codes. Here are ten commonly used  Scalp Lacerations ICD codes for this condition, along with brief clinical descriptions:

S01.01 - Laceration of the scalp, initial encounter: Applied when a patient seeks medical attention for an initial assessment and treatment of a scalp laceration.

S01.02 - Laceration of the scalp, subsequent encounter: Used for follow-up visits or continuing care related to a previously treated scalp laceration.

S01.03 - Laceration of the scalp, sequela: Reserved for cases where a scalp laceration has resulted in a lasting condition or complication.

S01.31 - Laceration without foreign body of scalp, initial encounter: Applicable when no foreign object is involved in the laceration, and it's the first encounter with a healthcare provider.

S01.32 - Laceration without foreign body of scalp, subsequent encounter: Used for follow-up care when no foreign body is associated with the scalp laceration.

S01.33 - Laceration without foreign body of scalp, sequela: For cases where a laceration without a foreign body has resulted in lasting effects.

S01.81 - Laceration with foreign body of scalp, initial encounter: Applied when a scalp laceration involves a foreign object, the first encounter with a healthcare provider.

S01.82 - Laceration with foreign body of scalp, subsequent encounter: Used for follow-up care when a foreign body is associated with the scalp laceration.

S01.83 - Laceration with foreign body of scalp, sequela: For cases where a laceration with a foreign body has resulted in lasting effects.

T04.41 - Injury of scalp, initial encounter: Used for initial encounters when the injury to the scalp does not fit into specific laceration categories.

Which Scalp Laceration ICD Codes are Billable?

The billable status of the mentioned ICD-10 codes for Scalp Lacerations varies:

S01.01 - Laceration of scalp, initial encounter: Yes, billable. Medical expenses related to the initial assessment and treatment can be claimed.

S01.02 - Laceration of scalp, subsequent encounter: Yes, billable. Follow-up visits for continuing care are eligible for reimbursement.

S01.03 - Laceration of scalp, sequela: Yes, billable. This code covers lasting effects or complications resulting from a scalp laceration.

S01.31 - Laceration without foreign body of scalp, initial encounter: Yes, billable. Initial care for lacerations without foreign objects can be billed.

S01.32 - Laceration without foreign body of scalp, subsequent encounter: Yes, billable. Follow-up care for non-foreign body-related lacerations can be reimbursed.

S01.33 - Laceration without foreign body of scalp, sequela: Yes, billable. Lasting effects of lacerations without foreign bodies can be claimed.

S01.81 - Laceration with foreign body of scalp, initial encounter: Yes, billable. Initial treatment for lacerations involving foreign bodies can be billed.

S01.82 - Laceration with foreign body of scalp, subsequent encounter: Yes, billable. Follow-up care for lacerations with foreign bodies is eligible for reimbursement.

S01.83 - Laceration with foreign body of scalp, sequela: Yes, billable. This code covers lasting effects or complications of lacerations with foreign bodies.

T04.41 - Injury of scalp, initial encounter: Yes, billable. Initial encounters for scalp injuries not fitting specific laceration categories can be claimed.

Clinical Information

• A scalp laceration is a cut or tear in the scalp tissue.
• It is a common type of head injury and can result from accidents, falls, or trauma.
• Assessment includes evaluating the size, depth, and location of the laceration.
• Bleeding can be profuse due to the scalp's rich blood supply, but it often stops spontaneously.
• Cleaning the wound and ensuring hemostasis (stopping bleeding) are initial priorities.
• Local anesthesia may be required for pain relief before wound closure.
• Closure methods may include sutures, staples, tissue adhesive, or a combination.
• Evaluation for underlying skull or brain injury may be necessary, especially in cases of significant trauma.
• Scalp lacerations should be monitored for signs of infection, and tetanus vaccination status should be checked.
• Patient education on wound care, signs of infection, and follow-up instructions is essential.
• Scalp lacerations may result in visible scars, and patients should be informed about potential cosmetic outcomes.

Synonyms Include

• Scalp Cut
• Head Wound
• Scalp Gash
• Cranial Laceration
• Scalp Tear