S02.402 — Zygomatic fracture, unspecified side
S02.402 is a non-billable header ICD-10-CM code for zygomatic 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
S02.402 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 S02.402 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 S02.402.
- Fracture, traumatic›zygoma
Code to one of these instead S02.402
6 child codes. Green means billable.
- S02.402AZygomatic fracture, unspecified side, initial encounter for closed fracture
- S02.402BZygomatic fracture, unspecified side, initial encounter for open fracture
- S02.402DZygomatic fracture, unspecified side, subsequent encounter for fracture with routine healing
- S02.402GZygomatic fracture, unspecified side, subsequent encounter for fracture with delayed healing
- S02.402KZygomatic fracture, unspecified side, subsequent encounter for fracture with nonunion
- S02.402SZygomatic fracture, unspecified side, sequela
Related codes at this level
Codes that share S02.40. If S02.402 is not quite right, the correct code is usually one of these.
Questions about S02.402
- Is S02.402 a billable ICD-10-CM code?
- No. S02.402 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.402 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).