S02

S02: Fracture of skull and facial bones

Non-billable headerICD-10-CM

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

Their own Excludes1 notes name this code, so the conflict is not listed above.

K03.81Cracked tooth
K08.53Fractured dental restorative material
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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S02

9 child codes. Green means billable.