S02.109D
S02.109D: Fracture of base of skull, unspecified side, subsequent encounter for fracture with routine healing
Billable / specific codeICD-10-CMPOA exemptunspecified
S02.109D is a billable, specific ICD-10-CM code for fracture of base of skull, unspecified side, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S02.109D with the rest of the claim: free scrubber7th character "D": subsequent encounter for fracture with routine healing
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
Other codes that can never be billed with S02.109D
Their own Excludes1 notes name this code, so the conflict is not listed above.
- S01Open wound of head
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S02.109D is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S02.109
- S02.109AFracture of base of skull, unspecified side, initial encounter for closed fracture
- S02.109BFracture of base of skull, unspecified side, initial encounter for open fracture
- S02.109GFracture of base of skull, unspecified side, subsequent encounter for fracture with delayed healing
- S02.109KFracture of base of skull, unspecified side, subsequent encounter for fracture with nonunion
- S02.109SFracture of base of skull, unspecified side, sequela