S03.40XA
S03.40XA — Sprain of jaw, unspecified side, initial encounter
Billable / specific codeICD-10-CMunspecified
S03.40XA is a billable, specific ICD-10-CM code for sprain of jaw, unspecified side, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S03
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S03.40XA 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
S03.40XA is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Related codes at this level
Codes that share S03.40. If S03.40XA is not quite right, the correct code is usually one of these.
Questions about S03.40XA
- Is S03.40XA a billable ICD-10-CM code?
- Yes. S03.40XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S03.40XA 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).