S02.611S
S02.611S: Fracture of condylar process of right mandible, sequela
Billable / specific codeICD-10-CMPOA exemptright
S02.611S is a billable, specific ICD-10-CM code for fracture of condylar process of right mandible, sequela. It is valid for submission on a claim.
Check S02.611S 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 S02.611S
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
S02.611S is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56612Billing and Coding: CT of the Head
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S02.611
- S02.611AFracture of condylar process of right mandible, initial encounter for closed fracture
- S02.611BFracture of condylar process of right mandible, initial encounter for open fracture
- S02.611DFracture of condylar process of right mandible, subsequent encounter for fracture with routine healing
- S02.611GFracture of condylar process of right mandible, subsequent encounter for fracture with delayed healing
- S02.611KFracture of condylar process of right mandible, subsequent encounter for fracture with nonunion