S01.92XD vs S02

S01.92XD (Laceration with foreign body of unspecified part of head, subsequent encounter) compared with S02 (Fracture of skull and facial bones), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

S01.92XD

Laceration with foreign body of unspecified part of head, subsequent encounter

↔

S02

Fracture of skull and facial bones

Not coded here — these two are mutually exclusive.

“open skull fracture (S02.- with 7th character B)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. S01.92XD carries an Excludes1 note covering S02: “open skull fracture (S02.- with 7th character B)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

	S01.92XDLaceration with foreign body of unspecified part of head, subsequent encounter	S02Fracture of skull and facial bones
Billing status	Billable	Non-billable header Report instead: S02.0XXA, S02.0XXB, S02.0XXD, S02.0XXG, S02.0XXK
Classification	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
Definition	Laceration with foreign body of unspecified part of head, subsequent encounter is a billable ICD-10-CM diagnosis code (S01.92D).	Fracture of skull and facial bones is a non-billable ICD-10-CM category code (S02).
7th character	The appropriate 7th character is to be added to each code from category S01	The appropriate 7th character is to be added to each code from category S02
Includes	injuries of ear injuries of eye injuries of face [any part] injuries of gum	injuries of ear injuries of eye injuries of face [any part] injuries of gum

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources