++
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
++
S02.91XA Unspecified fracture of skull, initial encounter for closed fracture
S02.91XB Unspecified fracture of skull, initial encounter for open fracture
+++
PREFERRED PRACTICE PATTERN3
++
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
++++
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.
++
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, ...