S02.42XS
S02.42XS: Fracture of alveolus of maxilla, sequela
Billable / specific codeICD-10-CMPOA exempt
S02.42XS is a billable, specific ICD-10-CM code for fracture of alveolus of maxilla, sequela. It is valid for submission on a claim.
Check S02.42XS 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 S02.42XS
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
S02.42XS is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S02.42
- 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