S02.40CG

S02.40CG: Maxillary fracture, right side, subsequent encounter for fracture with delayed healing

Billable / specific codeICD-10-CMPOA exemptright

S02.40CG is a billable, specific ICD-10-CM code for maxillary fracture, right side, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.

Check S02.40CG with the rest of the claim: free scrubber

7th character "G": subsequent encounter for fracture with delayed healing

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 S02.40CG

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.

Medicare coverage

S02.40CG is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

Unchanged in every release from FY2024 to FY2027.