ICD-10 category · Chapter XIX · S00-S09
S02 Fracture of skull and facial bones
31 codes under S02 in the South African Master Industry Table 2021, 20 valid for clinical use; 18 marked as a Prescribed Minimum Benefit.
| Code | Description | Use | Benefits |
|---|---|---|---|
| S02 | Fracture of skull and facial bones | Heading only | — |
| S02.0 | Fracture of vault of skull | Heading only | — |
| S02.00 | Fracture of vault of skull, closed | Valid · may be primary | PMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomy |
| S02.01 | Fracture of vault of skull, open | Valid · may be primary | PMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomyPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S02.1 | Fracture of base of skull | Heading only | — |
| S02.10 | Fracture of base of skull, closed | Valid · may be primary | PMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomy |
| S02.11 | Fracture of base of skull, open | Valid · may be primary | PMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomyPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S02.2 | Fracture of nasal bones | Heading only | — |
| S02.20 | Fracture of nasal bones, closed | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical management |
| S02.21 | Fracture of nasal bones, open | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S02.3 | Fracture of orbital floor | Heading only | — |
| S02.30 | Fracture of orbital floor, closed | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical management |
| S02.31 | Fracture of orbital floor, open | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S02.4 | Fracture of malar and maxillary bones | Heading only | — |
| S02.40 | Fracture of malar and maxillary bones, closed | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical management |
| S02.41 | Fracture of malar and maxillary bones, open | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S02.5 | Fracture of tooth | Heading only | — |
| S02.50 | Fracture of tooth, closed | Valid · may be primary | — |
| S02.51 | Fracture of tooth, open | Valid · may be primary | — |
| S02.6 | Fracture of mandible | Heading only | — |
| S02.60 | Fracture of mandible, closed | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical management |
| S02.61 | Fracture of mandible, open | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S02.7 | Multiple fractures involving skull and facial bones | Heading only | — |
| S02.70 | Multiple fractures involving skull and facial bones, closed | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomy |
| S02.71 | Multiple fractures involving skull and facial bones, open | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomy |
| S02.8 | Fractures of other skull and facial bones | Heading only | — |
| S02.80 | Fractures of other skull and facial bones, closed | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomy |
| S02.81 | Fractures of other skull and facial bones, open | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomyPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| S02.9 | Fracture of skull and facial bones, part unspecified | Heading only | — |
| S02.90 | Fracture of skull and facial bones, part unspecified, closed | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomy |
| S02.91 | Fracture of skull and facial bones, part unspecified, open | Valid · may be primary | PMB 339C Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves · Medical and surgical managementPMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomyPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
Prescribed Minimum Benefits in S02. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.
Source and terms
Reproduced from the national table, unaltered.
The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page
Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.
ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.
Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.
Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.
This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.
In GreenNotes
Code the consultation once. The invoice and the claim pick it up.
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