Is S02.612 a billable ICD-10-CM code?

No. S02.612 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S02.612 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).

S02.612

S02.612 — Fracture of condylar process of left mandible

Non-billable headerICD-10-CMleft

S02.612 is a non-billable header ICD-10-CM code for fracture of condylar process of left 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

Risk adjustment

S02.612 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 S02.612

6 child codes. Green means billable.

Related codes at this level

Codes that share S02.61. If S02.612 is not quite right, the correct code is usually one of these.

Questions about S02.612

Is S02.612 a billable ICD-10-CM code?: No. S02.612 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S02.612 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).