PROCEDURE

The consent form was signed by the parents, and the patient was taken to the operating room. She was anesthetized, and the right frontotemporal region was prepped and draped. A burr hole, using a rounded tip, was made into the skull. Immediate evacuation and decompression resulted. The patient’s vitals were stable, and she was discharged to the neurosurgeon for evaluation of a craniotomy.

Note: External cause code(s) apply.

ICD10 code CCD10 code
IC d 10 code

1 answer

: Q75.4 - Craniosynostosis syndromes with facial and limb anomalies
ICD10 code: S02.0XXA - Fracture of vault of skull, initial encounter for closed fracture