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ICD-10 Coding for Facial Bruises(S00.01XA, S00.83XA, R23.3)

Complete ICD-10-CM coding and documentation guide for Facial Bruises. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Facial ContusionsBlack EyeFacial Ecchymosis

Related ICD-10 Code Ranges

Complete code families applicable to Facial Bruises

S00-S09Primary Range

Injuries to the head

This range includes codes for various types of head injuries, including facial bruises.

Other skin changes

Includes codes for spontaneous bruising without trauma.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S00.01XAContusion of eyelid and periocular areaUse for bruising around the eye due to trauma.
  • Visible bruising around the eye
  • History of direct trauma
  • No fracture on imaging
S00.83XAContusion of other specified parts of headUse for facial bruises not involving the eyelid or periocular area.
  • Bruising on specified parts of the face
  • Documented mechanism of injury
R23.3Spontaneous ecchymosisUse for bruising without a clear traumatic cause.
  • No history of trauma
  • Negative imaging and lab workup

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for black eye

Essential facts and insights about Facial Bruises

The ICD-10 code for a black eye is S00.01XA, used for contusions of the eyelid and periocular area.

Primary ICD-10-CM Codes for facial bruises

Contusion of eyelid and periocular area
Billable Code

Decision Criteria

clinical Criteria

  • Visible bruising around the eye with no fracture.

Applicable To

  • Black eye

Excludes

  • Fracture of orbit

Clinical Validation Requirements

  • Visible bruising around the eye
  • History of direct trauma
  • No fracture on imaging

Code-Specific Risks

  • Ensure laterality is documented.

Coding Notes

  • Ensure documentation includes laterality and mechanism of injury.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Adult physical abuse

T74.11XA
Use if abuse is suspected alongside the contusion.

Encounter for examination following alleged physical abuse

Z04.72
Use if abuse is suspected.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Fracture of orbit

S02.81XA
Use if imaging confirms a fracture.

Unspecified injury of face

S09.93XA
Use only if specific location cannot be determined.

Other secondary thrombocytopenia

D69.49
Use if thrombocytopenia is confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Facial Bruises to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S00.01XA.

Impact

Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always include laterality in documentation., Use templates that prompt for laterality.

Impact

Reimbursement: Unspecified codes may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.

Mitigation Strategy

Use specific codes like S00.01XA or S00.83XA with detailed documentation.

Impact

Using unspecified codes can lead to audit flags.

Mitigation Strategy

Ensure detailed documentation to support specific coding.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Facial Bruises, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Facial Bruises

Use these documentation templates to ensure complete and accurate documentation for Facial Bruises. These templates include all required elements for proper coding and billing.

Emergency Department Note

Specialty: Emergency Medicine

Required Elements

  • Location
  • Size
  • Color
  • Shape
  • Mechanism
  • Imaging
  • Associated Findings
  • Abuse Screening

Example Documentation

Location: Left cheek, Size: 3 cm × 2 cm, Color: Purple-blue with yellow periphery, Shape: Oval, Mechanism: "Patient states she fell onto edge of table 48 hours ago", Imaging: CT face negative for fracture, Associated Findings: Tenderness 2/10, no vision changes, Abuse Screening: Denies domestic violence; safety plan provided

Examples: Poor vs. Good Documentation

Poor Documentation Example
Bruising on face.
Good Documentation Example
3 cm × 2 cm purple contusion on right cheek with associated swelling due to fall.
Explanation
The good example provides specific details about the location, size, and cause of the bruise.

Need help with ICD-10 coding for Facial Bruises? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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