S02.42 — Fracture of alveolus of maxilla
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
Risk adjustment
S02.42 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.
How S02.42 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S02.42.
- Fracture, traumatic›maxilla, maxillary›alveolus
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
Related codes at this level
Codes that share S02.4. If S02.42 is not quite right, the correct code is usually one of these.
Questions about S02.42
- Is S02.42 a billable ICD-10-CM code?
- No. S02.42 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.42 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).