Other and unspecified superficial injury of face, neck, and scalp, without mention of infection

This code signifies a minor, non-penetrating injury to the skin of the face, neck, or scalp that does not involve an open wound or evidence of infection. It encompasses superficial trauma such as abrasions, contusions, or minor lacerations where the skin barrier remains largely intact or the injury is not deep enough to be considered an open wound.

Apply this code for documented superficial injuries to the specified anatomical areas, such as a mild scrape from a fall, a bruise from a minor impact, or a superficial scratch. Documentation should clearly state the injury is superficial and that there are no signs of infection (e.g., erythema, purulent discharge, warmth).

• Do not use for open wounds; refer to codes for open wounds of the face, neck, or scalp.
• Ensure documentation explicitly states "superficial" or describes an injury consistent with a superficial nature (e.g., abrasion, contusion, scratch).
• If infection is present or suspected, a more specific code indicating infection should be used.