S02.92XS
S02.92XS — Unspecified fracture of facial bones, sequela
Billable / specific codeICD-10-CMPOA exempt
S02.92XS is a billable, specific ICD-10-CM code for unspecified fracture of facial bones, sequela. It is valid for submission on a claim.
7th 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
Risk adjustment
S02.92XS 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
S02.92XS is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Related codes at this level
Codes that share S02.92. If S02.92XS is not quite right, the correct code is usually one of these.
- S02.92XAUnspecified fracture of facial bones, initial encounter for closed fracture
- S02.92XBUnspecified fracture of facial bones, initial encounter for open fracture
- S02.92XDUnspecified fracture of facial bones, subsequent encounter for fracture with routine healing
- S02.92XGUnspecified fracture of facial bones, subsequent encounter for fracture with delayed healing
- S02.92XKUnspecified fracture of facial bones, subsequent encounter for fracture with nonunion
Questions about S02.92XS
- Is S02.92XS a billable ICD-10-CM code?
- Yes. S02.92XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.92XS 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).