S02.401

S02.401: Maxillary fracture, unspecified side

Non-billable headerICD-10-CMunspecified

S02.401 is a non-billable header ICD-10-CM code for maxillary 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

Other codes that can never be billed with S02.401

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.

Alphabetic index entries that lead here

Fracture, traumatic›maxilla, maxillary(bone) (sinus) (superior) (upper jaw)

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S02.401

6 child codes. Green means billable.