Unspecified superficial injury of scalp, initial encounter

This code signifies a superficial injury to the scalp, such as an abrasion, contusion, or blister, where the specific nature of the injury is not documented. It indicates that this is the first time the patient is receiving active treatment for this particular injury.

Use this code when documentation clearly states a superficial scalp injury but lacks specificity regarding the type (e.g., "scalp injury," "head bump"). It is appropriate for the initial visit where the patient presents for evaluation and treatment of the injury.

• Ensure documentation explicitly states "superficial" and "scalp" when using this unspecified code.
• Avoid using this code if a more specific superficial injury (e.g., abrasion, contusion) is documented; instead, choose the appropriate S00.01- or S00.02- code.
• The "A" seventh character indicates an initial encounter for active treatment, not necessarily the first time the patient has seen a provider.