S02.42
S02.42: Fracture of alveolus of maxilla
Non-billable headerICD-10-CM
S02.42 is a non-billable header ICD-10-CM code for fracture of alveolus of maxilla. 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
Other codes that can never be billed with S02.42
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.
Alphabetic index entries that lead here
- Fracture, traumatic›maxilla, maxillary›alveolus
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S02.42
6 child codes. Green means billable.
- S02.42XAFracture of alveolus of maxilla, initial encounter for closed fracture
- S02.42XBFracture of alveolus of maxilla, initial encounter for open fracture
- S02.42XDFracture of alveolus of maxilla, subsequent encounter for fracture with routine healing
- S02.42XGFracture of alveolus of maxilla, subsequent encounter for fracture with delayed healing
- S02.42XKFracture of alveolus of maxilla, subsequent encounter for fracture with nonunion
- S02.42XSFracture of alveolus of maxilla, sequela