S02.40A — Malar fracture, right side
S02.40A is a non-billable header ICD-10-CM code for malar fracture, right 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
S02.40A 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 S02.40A 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 S02.40A.
- Fracture, traumatic›malar bone›right side
Code to one of these instead S02.40A
6 child codes. Green means billable.
- S02.40AAMalar fracture, right side, initial encounter for closed fracture
- S02.40ABMalar fracture, right side, initial encounter for open fracture
- S02.40ADMalar fracture, right side, subsequent encounter for fracture with routine healing
- S02.40AGMalar fracture, right side, subsequent encounter for fracture with delayed healing
- S02.40AKMalar fracture, right side, subsequent encounter for fracture with nonunion
- S02.40ASMalar fracture, right side, sequela
Related codes at this level
Codes that share S02.40. If S02.40A is not quite right, the correct code is usually one of these.
- S02.400Malar fracture, unspecified side
- S02.401Maxillary fracture, unspecified side
- S02.402Zygomatic fracture, unspecified 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
Questions about S02.40A
- Is S02.40A a billable ICD-10-CM code?
- No. S02.40A is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.40A 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).