S02.642D — Fracture of ramus of left mandible, subsequent encounter for fracture with routine healing
S02.642D is a billable, specific ICD-10-CM code for fracture of ramus of left mandible, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
7th character "D" — subsequent encounter for fracture with routine healing
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
S02.642D 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.
Medicare coverage
S02.642D is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
Related codes at this level
Codes that share S02.642. If S02.642D is not quite right, the correct code is usually one of these.
- S02.642AFracture of ramus of left mandible, initial encounter for closed fracture
- S02.642BFracture of ramus of left mandible, initial encounter for open fracture
- S02.642GFracture of ramus of left mandible, subsequent encounter for fracture with delayed healing
- S02.642KFracture of ramus of left mandible, subsequent encounter for fracture with nonunion
- S02.642SFracture of ramus of left mandible, sequela
Questions about S02.642D
- Is S02.642D a billable ICD-10-CM code?
- Yes. S02.642D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.642D 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).