Fracture of nasal bones, initial encounter for open fracture

This code signifies a broken nose where the skin and underlying tissues are compromised, exposing the bone to the outside environment. It specifically indicates the initial phase of treatment for such an injury. This type of fracture carries a higher risk of infection compared to closed fractures.

Apply this code when documentation clearly states an open fracture of the nasal bones, meaning there's a wound communicating with the fracture site. This is appropriate for the initial visit where the patient presents for treatment of the acute injury. Supporting documentation would include emergency department notes, operative reports, or initial consultation notes detailing the open nature of the fracture.

• Ensure the documentation explicitly states "open fracture" to differentiate from closed nasal bone fractures.
• Verify that this is indeed the "initial encounter" for treatment; subsequent care would use a different encounter character.
• Do not confuse with S02.2XXA (initial encounter for closed fracture) or S02.2XXD (subsequent encounter for open fracture).