S02.412S
S02.412S — LeFort II fracture, sequela
Billable / specific codeICD-10-CMPOA exempt
S02.412S is a billable, specific ICD-10-CM code for lefort ii fracture, sequela. It is valid for submission on a claim.
7th 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
Risk adjustment
S02.412S 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.
Medicare coverage
S02.412S is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share S02.412. If S02.412S is not quite right, the correct code is usually one of these.
- S02.412ALeFort II fracture, initial encounter for closed fracture
- S02.412BLeFort II fracture, initial encounter for open fracture
- S02.412DLeFort II fracture, subsequent encounter for fracture with routine healing
- S02.412GLeFort II fracture, subsequent encounter for fracture with delayed healing
- S02.412KLeFort II fracture, subsequent encounter for fracture with nonunion
Questions about S02.412S
- Is S02.412S a billable ICD-10-CM code?
- Yes. S02.412S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.412S 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).