S02.69 — Fracture of mandible of other specified site
S02.69 is a non-billable header ICD-10-CM code for fracture of mandible of other specified site. 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
S02.69 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.
How S02.69 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S02.69.
- Fracture, traumatic›mandible›specified site NEC
Code to one of these instead S02.69
6 child codes. Green means billable.
- S02.69XAFracture of mandible of other specified site, initial encounter for closed fracture
- S02.69XBFracture of mandible of other specified site, initial encounter for open fracture
- S02.69XDFracture of mandible of other specified site, subsequent encounter for fracture with routine healing
- S02.69XGFracture of mandible of other specified site, subsequent encounter for fracture with delayed healing
- S02.69XKFracture of mandible of other specified site, subsequent encounter for fracture with nonunion
- S02.69XSFracture of mandible of other specified site, sequela
Related codes at this level
Codes that share S02.6. If S02.69 is not quite right, the correct code is usually one of these.
- 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
Questions about S02.69
- Is S02.69 a billable ICD-10-CM code?
- No. S02.69 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.69 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).