S02.19XD — Other fracture of base of skull, subsequent encounter for fracture with routine healing
S02.19XD is a billable, specific ICD-10-CM code for other fracture of base of skull, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
7th 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fracture of anterior fossa of base of skull
- Fracture of ethmoid sinus
- Fracture of frontal sinus
- Fracture of middle fossa of base of skull
- Fracture of posterior fossa of base of skull
- Fracture of sphenoid
- Fracture of temporal bone
Risk adjustment
S02.19XD 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.
Medicare coverage
S02.19XD is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56612Billing and Coding: CT of the Head
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share S02.19. If S02.19XD is not quite right, the correct code is usually one of these.
- S02.19XAOther fracture of base of skull, initial encounter for closed fracture
- S02.19XBOther fracture of base of skull, initial encounter for open fracture
- S02.19XGOther fracture of base of skull, subsequent encounter for fracture with delayed healing
- S02.19XKOther fracture of base of skull, subsequent encounter for fracture with nonunion
- S02.19XSOther fracture of base of skull, sequela
Questions about S02.19XD
- Is S02.19XD a billable ICD-10-CM code?
- Yes. S02.19XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.19XD 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).