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ICD-9-CM CODES1

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  • 803 Other and unqualified skull fractures

  • 803.0 Other closed skull fracture without mention of intracranial injury

  • 803.00 Other closed skull fracture without intracranial injury with state of consciousness unspecified

  • 803.1 Other closed skull fracture with cerebral laceration and contusion

  • 803.2 Other closed skull fracture with subarachnoid subdural and extradural hemorrhage

  • 803.3 Closed skull fracture with other and unspecified intracranial hemorrhage

  • 803.4 Closed skull fracture with intracranial injury of other and unspecified nature

  • 803.5 Other open skull fracture without mention of intracranial injury

  • 803.6 Other open skull fracture with cerebral laceration and contusion

  • 803.7 Other open skull fracture with subarachnoid subdural and extradural hemorrhage

  • 803.8 Other open skull fracture with other and unspecified intracranial hemorrhage

  • 803.9 Other open skull fracture with intracranial injury of other and unspecified nature

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ICD-10-CM CODES2

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  • S02.91XA Unspecified fracture of skull, initial encounter for closed fracture

  • S02.91XB Unspecified fracture of skull, initial encounter for open fracture

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PREFERRED PRACTICE PATTERN3

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  • 5C: Impaired Motor Function and Sensory Integrity Associated with Nonprogressive Disorders of the Central Nervous System—congenital origin or acquired in infancy or childhood

  • 5D: Impaired Motor Function and Sensory Integrity Associated with Nonprogressive Disorders of the Central Nervous System—acquired in adolescence or adulthood

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FIGURE 110-1

(A) Bifrontal chronic subdural hematoma extending through the anterior fontanelle in a 1-month-old child. (B) Second image, in the same child showing bifrontal chronic subdural hematoma as well as small, acute intraparenchymal hemorrhage in the posterior fossa. (From Tintinalli JE, Stapczynski J, Ma OJ, Cline D, Cydulka R, Meckler G. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 7th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
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PATIENT PRESENTATION

While riding his bicycle home from school, a 15-year-old boy veered off the side of the road to avoid an oncoming car. The front wheel of his bike hit a large rock, which stopped the bicycle suddenly. The boy was thrown over the handlebars and landed head first on the ground. He was not wearing a helmet. When the emergency medical team arrived (approximately 8 minutes after receiving a 911 call) the boy was unconscious and lying on his back. The back of his head was lying in a pool of blood due to a skull fracture.

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KEY FEATURES

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Description
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  • Defined as external trauma to the skull that results in damage to one or more parts of the brain.

  • Fracture of the skull

    • Open head injury (penetrating): Fracture of the skull with brain injury.

    • Closed head injury (blunt, nonpenetrating): Skull remains intact, but brain injury is evident.

  • Depressed skull fracture: Break in a cranial bone with depression toward the brain.

  • Linear skull fracture: Break in a cranial bone, thin line without ...

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