S02.19XS — Other fracture of base of skull, sequela
S02.19XS is a billable, specific ICD-10-CM code for other fracture of base of skull, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
S02.19XS 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
S02.19XS is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share S02.19. If S02.19XS 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
- S02.19XDOther fracture of base of skull, subsequent encounter for fracture with routine healing
- 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
Questions about S02.19XS
- Is S02.19XS a billable ICD-10-CM code?
- Yes. S02.19XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.19XS 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).