S02.6
S02.6 — Fracture of mandible
Non-billable headerICD-10-CM
S02.6 is a non-billable header ICD-10-CM code for fracture of mandible. 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fracture of lower jaw (bone)
Risk adjustment
S02.6 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.
Code to one of these instead S02.6
9 child codes. Green means billable.
- S02.60Fracture of mandible, unspecified
- S02.61Fracture of condylar process of mandible
- S02.62Fracture of subcondylar process of mandible
- S02.63Fracture of coronoid process of mandible
- S02.64Fracture of ramus of mandible
- S02.65Fracture of angle of mandible
- S02.66Fracture of symphysis of mandible
- S02.67Fracture of alveolus of mandible
- S02.69Fracture of mandible of other specified site
Related codes at this level
Codes that share S02. If S02.6 is not quite right, the correct code is usually one of these.
- S02.0Fracture of vault of skull
- S02.1Fracture of base of skull
- S02.2Fracture of nasal bones
- S02.3Fracture of orbital floor
- S02.4Fracture of malar, maxillary and zygoma bones
- S02.5Fracture of tooth (traumatic)
- S02.8Fractures of other specified skull and facial bones
- S02.9Fracture of unspecified skull and facial bones
Questions about S02.6
- Is S02.6 a billable ICD-10-CM code?
- No. S02.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.6 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).