S02.40
S02.40 — Fracture of malar, maxillary and zygoma bones, unspecified
Non-billable headerICD-10-CM
S02.40 is a non-billable header ICD-10-CM code for fracture of malar, maxillary and zygoma bones, unspecified. 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
Risk adjustment
S02.40 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 S02.40
9 child codes. Green means billable.
- S02.400Malar fracture, unspecified side
- S02.401Maxillary fracture, unspecified side
- S02.402Zygomatic fracture, unspecified side
- S02.40AMalar fracture, right side
- S02.40BMalar fracture, left side
- S02.40CMaxillary fracture, right side
- S02.40DMaxillary fracture, left side
- S02.40EZygomatic fracture, right side
- S02.40FZygomatic fracture, left side
Related codes at this level
Codes that share S02.4. If S02.40 is not quite right, the correct code is usually one of these.
Questions about S02.40
- Is S02.40 a billable ICD-10-CM code?
- No. S02.40 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.40 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).