S02.400 — Malar fracture, unspecified side
S02.400 is a non-billable header ICD-10-CM code for malar fracture, unspecified side. 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
S02.400 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.
How S02.400 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S02.400.
- Fracture, traumatic›malar bone
Code to one of these instead S02.400
6 child codes. Green means billable.
- S02.400AMalar fracture, unspecified side, initial encounter for closed fracture
- S02.400BMalar fracture, unspecified side, initial encounter for open fracture
- S02.400DMalar fracture, unspecified side, subsequent encounter for fracture with routine healing
- S02.400GMalar fracture, unspecified side, subsequent encounter for fracture with delayed healing
- S02.400KMalar fracture, unspecified side, subsequent encounter for fracture with nonunion
- S02.400SMalar fracture, unspecified side, sequela
Related codes at this level
Codes that share S02.40. If S02.400 is not quite right, the correct code is usually one of these.
Questions about S02.400
- Is S02.400 a billable ICD-10-CM code?
- No. S02.400 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.400 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).