S02 — Fracture of skull and facial bones
S02 is a non-billable header ICD-10-CM code for fracture of skull and facial bones. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S02
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- S
- sequela
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- any associated intracranial injury (S06.-)
Notes
Additional guidance from the ICD-10-CM tabular list.
- A fracture not indicated as open or closed should be coded to closed
Other codes that can never be billed with S02
These codes carry an Excludes1 note pointing at S02. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S02 alone.
- S01Open wound of head
- S02.3Fracture of orbital floor
- S02.85Fracture of orbit, unspecified
- S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XBFracture of orbit, unspecified, initial encounter for open fracture
- S02.85XDFracture of orbit, unspecified, subsequent encounter for fracture with routine healing
- S02.85XGFracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
- S02.85XKFracture of orbit, unspecified, subsequent encounter for fracture with nonunion
Risk adjustment
S02 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S02
9 child codes. Green means billable.
- S02.0Fracture of vault of skull
- S02.1Fracture of base of skull
- S02.2Fracture of nasal bones
- S02.3Fracture of orbital floor
- S02.4Fracture of malar, maxillary and zygoma bones
- S02.5Fracture of tooth (traumatic)
- S02.6Fracture of mandible
- S02.8Fractures of other specified skull and facial bones
- S02.9Fracture of unspecified skull and facial bones
Questions about S02
- Is S02 a billable ICD-10-CM code?
- No. S02 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).