Birth injury to face

This code signifies an injury sustained by a newborn to any part of the face during the birthing process. These injuries can range from minor bruising or abrasions to more significant trauma affecting facial structures. It specifically refers to damage incurred at the time of delivery.

Apply this code when documentation clearly indicates a facial injury in a neonate directly attributable to the birth event. This includes conditions like facial nerve palsy, forceps marks, or other trauma to the face noted at or shortly after birth. Supporting documentation should specify the facial area affected and the link to the birth process.

• Differentiate from congenital anomalies of the face, which are present at birth but not caused by the birth process itself.
• Always sequence this code after the primary diagnosis for the newborn's care, if applicable, or as the principal diagnosis if the birth injury is the reason for admission.
• Ensure the medical record specifies the cause of the injury (e.g., forceps delivery, prolonged labor) if known, as this may impact other coding.