S02.411S
S02.411S: LeFort I fracture, sequela
Billable / specific codeICD-10-CMPOA exempt
S02.411S is a billable, specific ICD-10-CM code for lefort i fracture, sequela. It is valid for submission on a claim.
Check S02.411S with the rest of the claim: free scrubber7th character "S": sequela
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 S02.411S
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
S02.411S is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S02.411
- S02.411ALeFort I fracture, initial encounter for closed fracture
- S02.411BLeFort I fracture, initial encounter for open fracture
- S02.411DLeFort I fracture, subsequent encounter for fracture with routine healing
- S02.411GLeFort I fracture, subsequent encounter for fracture with delayed healing
- S02.411KLeFort I fracture, subsequent encounter for fracture with nonunion