S02.80XD — Fracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with routine healing
S02.80XD is a billable, specific ICD-10-CM code for fracture of other specified skull and facial bones, unspecified side, 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
S02.80XD 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
S02.80XD is named in 2 Medicare coverage policies — 2 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
Related codes at this level
Codes that share S02.80. If S02.80XD is not quite right, the correct code is usually one of these.
- S02.80XAFracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture
- S02.80XBFracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture
- S02.80XGFracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with delayed healing
- S02.80XKFracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with nonunion
- S02.80XSFracture of other specified skull and facial bones, unspecified side, sequela
Questions about S02.80XD
- Is S02.80XD a billable ICD-10-CM code?
- Yes. S02.80XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.80XD 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).