Is S02.413B a billable ICD-10-CM code?

Yes. S02.413B is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S02.413B 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).

S02.413B

S02.413B — LeFort III fracture, initial encounter for open fracture

Billable / specific codeICD-10-CM

S02.413B is a billable, specific ICD-10-CM code for lefort iii fracture, initial encounter for open fracture. It is valid for submission on a claim.

7th character "B" — initial encounter for open fracture

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

S02.413B risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 399 Major Head Injury without Loss of Consciousness0.199 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

S02.413B is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56612Billing and Coding: CT of the Head
A56900Billing and Coding: Immunizations
A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A58872Billing and Coding: Tetanus Immunization

Related codes at this level

Codes that share S02.413. If S02.413B is not quite right, the correct code is usually one of these.

Questions about S02.413B

Is S02.413B a billable ICD-10-CM code?: Yes. S02.413B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S02.413B 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).