ICD-10 · PDGM grouping
S02 Fracture of skull and facial bones
All 456 codes in the S02 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
456
Can lead a claim
324
Cannot lead a claim
132
What CMS assigns to S02
324 of the 456 codes group to Musculoskeletal Rehabilitation; 132 are assigned no clinical group. None of the 456 is assigned a comorbidity subgroup. 324 of the 456 can lead a claim.
Every code in S02
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S02.0 Fracture of vault of skull | ||||
| S02.0XXA | Fracture of vault of skull, initial encounter for closed fractureCMS: Fracture of vault of skull, init encntr for closed fracture | Can lead a claim | E | None |
| S02.0XXB | Fracture of vault of skull, initial encounter for open fractureCMS: Fracture of vault of skull, init encntr for open fracture | Can lead a claim | E | None |
| S02.0XXD | Fracture of vault of skull, subsequent encounter for fracture with routine healingCMS: Fracture of vault of skull, subs for fx w routn heal | Can lead a claim | E | None |
| S02.0XXG | Fracture of vault of skull, subsequent encounter for fracture with delayed healingCMS: Fracture of vault of skull, subs for fx w delay heal | Can lead a claim | E | None |
| S02.0XXK | Fracture of vault of skull, subsequent encounter for fracture with nonunionCMS: Fracture of vault of skull, subs for fx w nonunion | Can lead a claim | E | None |
| S02.0XXS | Fracture of vault of skull, sequela | Can lead a claim | E | None |
| S02.1 Fracture of base of skull | ||||
| S02.10 Unspecified fracture of base of skull | ||||
| S02.101 Fracture of base of skull, right side | ||||
| S02.101A | Fracture of base of skull, right side, initial encounter for closed fractureCMS: Fracture of base of skull, right side, init | Can lead a claim | E | None |
| S02.101B | Fracture of base of skull, right side, initial encounter for open fractureCMS: Fracture of base of skull, right side, 7thB | Can lead a claim | E | None |
| S02.101D | Fracture of base of skull, right side, subsequent encounter for fracture with routine healingCMS: Fracture of base of skull, right side, 7thD | Can lead a claim | E | None |
| S02.101G | Fracture of base of skull, right side, subsequent encounter for fracture with delayed healingCMS: Fracture of base of skull, right side, 7thG | Can lead a claim | E | None |
| S02.101K | Fracture of base of skull, right side, subsequent encounter for fracture with nonunionCMS: Fracture of base of skull, right side, 7thK | Can lead a claim | E | None |
| S02.101S | Fracture of base of skull, right side, sequela | Can lead a claim | E | None |
| S02.102 Fracture of base of skull, left side | ||||
| S02.102A | Fracture of base of skull, left side, initial encounter for closed fractureCMS: Fracture of base of skull, left side, init | Can lead a claim | E | None |
| S02.102B | Fracture of base of skull, left side, initial encounter for open fractureCMS: Fracture of base of skull, left side, 7thB | Can lead a claim | E | None |
| S02.102D | Fracture of base of skull, left side, subsequent encounter for fracture with routine healingCMS: Fracture of base of skull, left side, 7thD | Can lead a claim | E | None |
| S02.102G | Fracture of base of skull, left side, subsequent encounter for fracture with delayed healingCMS: Fracture of base of skull, left side, 7thG | Can lead a claim | E | None |
| S02.102K | Fracture of base of skull, left side, subsequent encounter for fracture with nonunionCMS: Fracture of base of skull, left side, 7thK | Can lead a claim | E | None |
| S02.102S | Fracture of base of skull, left side, sequela | Can lead a claim | E | None |
| S02.109 Fracture of base of skull, unspecified side | ||||
| S02.109A | Fracture of base of skull, unspecified side, initial encounter for closed fractureCMS: Fracture of base of skull, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.109B | Fracture of base of skull, unspecified side, initial encounter for open fractureCMS: Fracture of base of skull, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.109D | Fracture of base of skull, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of base of skull, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.109G | Fracture of base of skull, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of base of skull, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.109K | Fracture of base of skull, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of base of skull, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.109S | Fracture of base of skull, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.11 Fracture of occiput | ||||
| S02.110 Type I occipital condyle fracture, unspecified side | ||||
| S02.110A | Type I occipital condyle fracture, unspecified side, initial encounter for closed fractureCMS: Type I occipital condyle fracture, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.110B | Type I occipital condyle fracture, unspecified side, initial encounter for open fractureCMS: Type I occipital condyle fracture, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.110D | Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healingCMS: Type I occipital condyle fracture, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.110G | Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healingCMS: Type I occipital condyle fracture, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.110K | Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunionCMS: Type I occipital condyle fracture, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.110S | Type I occipital condyle fracture, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.111 Type II occipital condyle fracture, unspecified side | ||||
| S02.111A | Type II occipital condyle fracture, unspecified side, initial encounter for closed fractureCMS: Type II occipital condyle fracture, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.111B | Type II occipital condyle fracture, unspecified side, initial encounter for open fractureCMS: Type II occipital condyle fracture, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.111D | Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healingCMS: Type II occipital condyle fracture, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.111G | Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healingCMS: Type II occipital condyle fracture, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.111K | Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunionCMS: Type II occipital condyle fracture, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.111S | Type II occipital condyle fracture, unspecified side, sequelaCMS: Type II occipital condyle fracture, unsp side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.112 Type III occipital condyle fracture, unspecified side | ||||
| S02.112A | Type III occipital condyle fracture, unspecified side, initial encounter for closed fractureCMS: Type III occipital condyle fracture, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.112B | Type III occipital condyle fracture, unspecified side, initial encounter for open fractureCMS: Type III occipital condyle fracture, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.112D | Type III occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healingCMS: Type III occipital condyle fracture, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.112G | Type III occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healingCMS: Type III occipital condyle fracture, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.112K | Type III occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunionCMS: Type III occipital condyle fracture, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.112S | Type III occipital condyle fracture, unspecified side, sequelaCMS: Type III occipital condyle fracture, unsp side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.113 Unspecified occipital condyle fracture | ||||
| S02.113A | Unspecified occipital condyle fracture, initial encounter for closed fractureCMS: Unsp occipital condyle fracture, init for clos fx | Can lead a claim | E | None |
| S02.113B | Unspecified occipital condyle fracture, initial encounter for open fractureCMS: Unsp occipital condyle fracture, init for opn fx | Can lead a claim | E | None |
| S02.113D | Unspecified occipital condyle fracture, subsequent encounter for fracture with routine healingCMS: Unsp occipital condyle fracture, subs for fx w routn heal | Can lead a claim | E | None |
| S02.113G | Unspecified occipital condyle fracture, subsequent encounter for fracture with delayed healingCMS: Unsp occipital condyle fracture, subs for fx w delay heal | Can lead a claim | E | None |
| S02.113K | Unspecified occipital condyle fracture, subsequent encounter for fracture with nonunionCMS: Unsp occipital condyle fracture, subs for fx w nonunion | Can lead a claim | E | None |
| S02.113S | Unspecified occipital condyle fracture, sequela | Can lead a claim | E | None |
| S02.118 Other fracture of occiput, unspecified side | ||||
| S02.118A | Other fracture of occiput, unspecified side, initial encounter for closed fractureCMS: Other fracture of occiput, unspecified side, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.118B | Other fracture of occiput, unspecified side, initial encounter for open fractureCMS: Other fracture of occiput, unspecified side, 7thB | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.118D | Other fracture of occiput, unspecified side, subsequent encounter for fracture with routine healingCMS: Other fracture of occiput, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.118G | Other fracture of occiput, unspecified side, subsequent encounter for fracture with delayed healingCMS: Other fracture of occiput, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.118K | Other fracture of occiput, unspecified side, subsequent encounter for fracture with nonunionCMS: Other fracture of occiput, unspecified side, 7thK | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.118S | Other fracture of occiput, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.119 Unspecified fracture of occiput | ||||
| S02.119A | Unspecified fracture of occiput, initial encounter for closed fractureCMS: Unsp fracture of occiput, init encntr for closed fracture | Can lead a claim | E | None |
| S02.119B | Unspecified fracture of occiput, initial encounter for open fractureCMS: Unsp fracture of occiput, init encntr for open fracture | Can lead a claim | E | None |
| S02.119D | Unspecified fracture of occiput, subsequent encounter for fracture with routine healingCMS: Unsp fracture of occiput, subs for fx w routn heal | Can lead a claim | E | None |
| S02.119G | Unspecified fracture of occiput, subsequent encounter for fracture with delayed healingCMS: Unsp fracture of occiput, subs for fx w delay heal | Can lead a claim | E | None |
| S02.119K | Unspecified fracture of occiput, subsequent encounter for fracture with nonunionCMS: Unsp fracture of occiput, subs for fx w nonunion | Can lead a claim | E | None |
| S02.119S | Unspecified fracture of occiput, sequela | Can lead a claim | E | None |
| S02.11A Type I occipital condyle fracture, right side | ||||
| S02.11AA | Type I occipital condyle fracture, right side, initial encounter for closed fractureCMS: Type I occipital condyle fracture, right side, init | Can lead a claim | E | None |
| S02.11AB | Type I occipital condyle fracture, right side, initial encounter for open fractureCMS: Type I occipital condyle fracture, right side, 7thB | Can lead a claim | E | None |
| S02.11AD | Type I occipital condyle fracture, right side, subsequent encounter for fracture with routine healingCMS: Type I occipital condyle fracture, right side, 7thD | Can lead a claim | E | None |
| S02.11AG | Type I occipital condyle fracture, right side, subsequent encounter for fracture with delayed healingCMS: Type I occipital condyle fracture, right side, 7thG | Can lead a claim | E | None |
| S02.11AK | Type I occipital condyle fracture, right side, subsequent encounter for fracture with nonunionCMS: Type I occipital condyle fracture, right side, 7thK | Can lead a claim | E | None |
| S02.11AS | Type I occipital condyle fracture, right side, sequela | Can lead a claim | E | None |
| S02.11B Type I occipital condyle fracture, left side | ||||
| S02.11BA | Type I occipital condyle fracture, left side, initial encounter for closed fractureCMS: Type I occipital condyle fracture, left side, init | Can lead a claim | E | None |
| S02.11BB | Type I occipital condyle fracture, left side, initial encounter for open fractureCMS: Type I occipital condyle fracture, left side, 7thB | Can lead a claim | E | None |
| S02.11BD | Type I occipital condyle fracture, left side, subsequent encounter for fracture with routine healingCMS: Type I occipital condyle fracture, left side, 7thD | Can lead a claim | E | None |
| S02.11BG | Type I occipital condyle fracture, left side, subsequent encounter for fracture with delayed healingCMS: Type I occipital condyle fracture, left side, 7thG | Can lead a claim | E | None |
| S02.11BK | Type I occipital condyle fracture, left side, subsequent encounter for fracture with nonunionCMS: Type I occipital condyle fracture, left side, 7thK | Can lead a claim | E | None |
| S02.11BS | Type I occipital condyle fracture, left side, sequela | Can lead a claim | E | None |
| S02.11C Type II occipital condyle fracture, right side | ||||
| S02.11CA | Type II occipital condyle fracture, right side, initial encounter for closed fractureCMS: Type II occipital condyle fracture, right side, init | Can lead a claim | E | None |
| S02.11CB | Type II occipital condyle fracture, right side, initial encounter for open fractureCMS: Type II occipital condyle fracture, right side, 7thB | Can lead a claim | E | None |
| S02.11CD | Type II occipital condyle fracture, right side, subsequent encounter for fracture with routine healingCMS: Type II occipital condyle fracture, right side, 7thD | Can lead a claim | E | None |
| S02.11CG | Type II occipital condyle fracture, right side, subsequent encounter for fracture with delayed healingCMS: Type II occipital condyle fracture, right side, 7thG | Can lead a claim | E | None |
| S02.11CK | Type II occipital condyle fracture, right side, subsequent encounter for fracture with nonunionCMS: Type II occipital condyle fracture, right side, 7thK | Can lead a claim | E | None |
| S02.11CS | Type II occipital condyle fracture, right side, sequela | Can lead a claim | E | None |
| S02.11D Type II occipital condyle fracture, left side | ||||
| S02.11DA | Type II occipital condyle fracture, left side, initial encounter for closed fractureCMS: Type II occipital condyle fracture, left side, init | Can lead a claim | E | None |
| S02.11DB | Type II occipital condyle fracture, left side, initial encounter for open fractureCMS: Type II occipital condyle fracture, left side, 7thB | Can lead a claim | E | None |
| S02.11DD | Type II occipital condyle fracture, left side, subsequent encounter for fracture with routine healingCMS: Type II occipital condyle fracture, left side, 7thD | Can lead a claim | E | None |
| S02.11DG | Type II occipital condyle fracture, left side, subsequent encounter for fracture with delayed healingCMS: Type II occipital condyle fracture, left side, 7thG | Can lead a claim | E | None |
| S02.11DK | Type II occipital condyle fracture, left side, subsequent encounter for fracture with nonunionCMS: Type II occipital condyle fracture, left side, 7thK | Can lead a claim | E | None |
| S02.11DS | Type II occipital condyle fracture, left side, sequela | Can lead a claim | E | None |
| S02.11E Type III occipital condyle fracture, right side | ||||
| S02.11EA | Type III occipital condyle fracture, right side, initial encounter for closed fractureCMS: Type III occipital condyle fracture, right side, init | Can lead a claim | E | None |
| S02.11EB | Type III occipital condyle fracture, right side, initial encounter for open fractureCMS: Type III occipital condyle fracture, right side, 7thB | Can lead a claim | E | None |
| S02.11ED | Type III occipital condyle fracture, right side, subsequent encounter for fracture with routine healingCMS: Type III occipital condyle fracture, right side, 7thD | Can lead a claim | E | None |
| S02.11EG | Type III occipital condyle fracture, right side, subsequent encounter for fracture with delayed healingCMS: Type III occipital condyle fracture, right side, 7thG | Can lead a claim | E | None |
| S02.11EK | Type III occipital condyle fracture, right side, subsequent encounter for fracture with nonunionCMS: Type III occipital condyle fracture, right side, 7thK | Can lead a claim | E | None |
| S02.11ES | Type III occipital condyle fracture, right side, sequela | Can lead a claim | E | None |
| S02.11F Type III occipital condyle fracture, left side | ||||
| S02.11FA | Type III occipital condyle fracture, left side, initial encounter for closed fractureCMS: Type III occipital condyle fracture, left side, init | Can lead a claim | E | None |
| S02.11FB | Type III occipital condyle fracture, left side, initial encounter for open fractureCMS: Type III occipital condyle fracture, left side, 7thB | Can lead a claim | E | None |
| S02.11FD | Type III occipital condyle fracture, left side, subsequent encounter for fracture with routine healingCMS: Type III occipital condyle fracture, left side, 7thD | Can lead a claim | E | None |
| S02.11FG | Type III occipital condyle fracture, left side, subsequent encounter for fracture with delayed healingCMS: Type III occipital condyle fracture, left side, 7thG | Can lead a claim | E | None |
| S02.11FK | Type III occipital condyle fracture, left side, subsequent encounter for fracture with nonunionCMS: Type III occipital condyle fracture, left side, 7thK | Can lead a claim | E | None |
| S02.11FS | Type III occipital condyle fracture, left side, sequela | Can lead a claim | E | None |
| S02.11G Other fracture of occiput, right side | ||||
| S02.11GA | Other fracture of occiput, right side, initial encounter for closed fractureCMS: Other fracture of occiput, right side, init | Can lead a claim | E | None |
| S02.11GB | Other fracture of occiput, right side, initial encounter for open fractureCMS: Other fracture of occiput, right side, 7thB | Can lead a claim | E | None |
| S02.11GD | Other fracture of occiput, right side, subsequent encounter for fracture with routine healingCMS: Other fracture of occiput, right side, 7thD | Can lead a claim | E | None |
| S02.11GG | Other fracture of occiput, right side, subsequent encounter for fracture with delayed healingCMS: Other fracture of occiput, right side, 7thG | Can lead a claim | E | None |
| S02.11GK | Other fracture of occiput, right side, subsequent encounter for fracture with nonunionCMS: Other fracture of occiput, right side, 7thK | Can lead a claim | E | None |
| S02.11GS | Other fracture of occiput, right side, sequela | Can lead a claim | E | None |
| S02.11H Other fracture of occiput, left side | ||||
| S02.11HA | Other fracture of occiput, left side, initial encounter for closed fractureCMS: Other fracture of occiput, left side, init | Can lead a claim | E | None |
| S02.11HB | Other fracture of occiput, left side, initial encounter for open fractureCMS: Other fracture of occiput, left side, 7thB | Can lead a claim | E | None |
| S02.11HD | Other fracture of occiput, left side, subsequent encounter for fracture with routine healingCMS: Other fracture of occiput, left side, 7thD | Can lead a claim | E | None |
| S02.11HG | Other fracture of occiput, left side, subsequent encounter for fracture with delayed healingCMS: Other fracture of occiput, left side, 7thG | Can lead a claim | E | None |
| S02.11HK | Other fracture of occiput, left side, subsequent encounter for fracture with nonunionCMS: Other fracture of occiput, left side, 7thK | Can lead a claim | E | None |
| S02.11HS | Other fracture of occiput, left side, sequela | Can lead a claim | E | None |
| S02.12 Fracture of orbital roof | ||||
| S02.121 Fracture of orbital roof, right side | ||||
| S02.121A | Fracture of orbital roof, right side, initial encounter for closed fractureCMS: Fracture of orbital roof, right side, init | Can lead a claim | E | None |
| S02.121B | Fracture of orbital roof, right side, initial encounter for open fractureCMS: Fracture of orbital roof, right side, 7thB | Can lead a claim | E | None |
| S02.121D | Fracture of orbital roof, right side, subsequent encounter for fracture with routine healingCMS: Fracture of orbital roof, right side, 7thD | Can lead a claim | E | None |
| S02.121G | Fracture of orbital roof, right side, subsequent encounter for fracture with delayed healingCMS: Fracture of orbital roof, right side, 7thG | Can lead a claim | E | None |
| S02.121K | Fracture of orbital roof, right side, subsequent encounter for fracture with nonunionCMS: Fracture of orbital roof, right side, 7thK | Can lead a claim | E | None |
| S02.121S | Fracture of orbital roof, right side, sequela | Can lead a claim | E | None |
| S02.122 Fracture of orbital roof, left side | ||||
| S02.122A | Fracture of orbital roof, left side, initial encounter for closed fractureCMS: Fracture of orbital roof, left side, init | Can lead a claim | E | None |
| S02.122B | Fracture of orbital roof, left side, initial encounter for open fractureCMS: Fracture of orbital roof, left side, 7thB | Can lead a claim | E | None |
| S02.122D | Fracture of orbital roof, left side, subsequent encounter for fracture with routine healingCMS: Fracture of orbital roof, left side, 7thD | Can lead a claim | E | None |
| S02.122G | Fracture of orbital roof, left side, subsequent encounter for fracture with delayed healingCMS: Fracture of orbital roof, left side, 7thG | Can lead a claim | E | None |
| S02.122K | Fracture of orbital roof, left side, subsequent encounter for fracture with nonunionCMS: Fracture of orbital roof, left side, 7thK | Can lead a claim | E | None |
| S02.122S | Fracture of orbital roof, left side, sequela | Can lead a claim | E | None |
| S02.129 Fracture of orbital roof, unspecified side | ||||
| S02.129A | Fracture of orbital roof, unspecified side, initial encounter for closed fractureCMS: Fracture of orbital roof, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.129B | Fracture of orbital roof, unspecified side, initial encounter for open fractureCMS: Fracture of orbital roof, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.129D | Fracture of orbital roof, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of orbital roof, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.129G | Fracture of orbital roof, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of orbital roof, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.129K | Fracture of orbital roof, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of orbital roof, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.129S | Fracture of orbital roof, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.19 Other fracture of base of skull | ||||
| S02.19XA | Other fracture of base of skull, initial encounter for closed fractureCMS: Oth fracture of base of skull, init for clos fx | Can lead a claim | E | None |
| S02.19XB | Other fracture of base of skull, initial encounter for open fractureCMS: Oth fracture of base of skull, init encntr for open fracture | Can lead a claim | E | None |
| S02.19XD | Other fracture of base of skull, subsequent encounter for fracture with routine healingCMS: Oth fracture of base of skull, subs for fx w routn heal | Can lead a claim | E | None |
| S02.19XG | Other fracture of base of skull, subsequent encounter for fracture with delayed healingCMS: Oth fracture of base of skull, subs for fx w delay heal | Can lead a claim | E | None |
| S02.19XK | Other fracture of base of skull, subsequent encounter for fracture with nonunionCMS: Oth fracture of base of skull, subs for fx w nonunion | Can lead a claim | E | None |
| S02.19XS | Other fracture of base of skull, sequela | Can lead a claim | E | None |
| S02.2 Fracture of nasal bones | ||||
| S02.2XXA | Fracture of nasal bones, initial encounter for closed fractureCMS: Fracture of nasal bones, init encntr for closed fracture | Can lead a claim | E | None |
| S02.2XXB | Fracture of nasal bones, initial encounter for open fracture | Can lead a claim | E | None |
| S02.2XXD | Fracture of nasal bones, subsequent encounter for fracture with routine healingCMS: Fracture of nasal bones, subs for fx w routn heal | Can lead a claim | E | None |
| S02.2XXG | Fracture of nasal bones, subsequent encounter for fracture with delayed healingCMS: Fracture of nasal bones, subs for fx w delay heal | Can lead a claim | E | None |
| S02.2XXK | Fracture of nasal bones, subsequent encounter for fracture with nonunionCMS: Fracture of nasal bones, subs encntr for fracture w nonunion | Can lead a claim | E | None |
| S02.2XXS | Fracture of nasal bones, sequela | Can lead a claim | E | None |
| S02.3 Fracture of orbital floor | ||||
| S02.30 Fracture of orbital floor, unspecified side | ||||
| S02.30XA | Fracture of orbital floor, unspecified side, initial encounter for closed fractureCMS: Fracture of orbital floor, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.30XB | Fracture of orbital floor, unspecified side, initial encounter for open fractureCMS: Fracture of orbital floor, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.30XD | Fracture of orbital floor, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of orbital floor, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.30XG | Fracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of orbital floor, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.30XK | Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of orbital floor, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.30XS | Fracture of orbital floor, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.31 Fracture of orbital floor, right side | ||||
| S02.31XA | Fracture of orbital floor, right side, initial encounter for closed fractureCMS: Fracture of orbital floor, right side, init | Can lead a claim | E | None |
| S02.31XB | Fracture of orbital floor, right side, initial encounter for open fractureCMS: Fracture of orbital floor, right side, 7thB | Can lead a claim | E | None |
| S02.31XD | Fracture of orbital floor, right side, subsequent encounter for fracture with routine healingCMS: Fracture of orbital floor, right side, 7thD | Can lead a claim | E | None |
| S02.31XG | Fracture of orbital floor, right side, subsequent encounter for fracture with delayed healingCMS: Fracture of orbital floor, right side, 7thG | Can lead a claim | E | None |
| S02.31XK | Fracture of orbital floor, right side, subsequent encounter for fracture with nonunionCMS: Fracture of orbital floor, right side, 7thK | Can lead a claim | E | None |
| S02.31XS | Fracture of orbital floor, right side, sequela | Can lead a claim | E | None |
| S02.32 Fracture of orbital floor, left side | ||||
| S02.32XA | Fracture of orbital floor, left side, initial encounter for closed fractureCMS: Fracture of orbital floor, left side, init | Can lead a claim | E | None |
| S02.32XB | Fracture of orbital floor, left side, initial encounter for open fractureCMS: Fracture of orbital floor, left side, 7thB | Can lead a claim | E | None |
| S02.32XD | Fracture of orbital floor, left side, subsequent encounter for fracture with routine healingCMS: Fracture of orbital floor, left side, 7thD | Can lead a claim | E | None |
| S02.32XG | Fracture of orbital floor, left side, subsequent encounter for fracture with delayed healingCMS: Fracture of orbital floor, left side, 7thG | Can lead a claim | E | None |
| S02.32XK | Fracture of orbital floor, left side, subsequent encounter for fracture with nonunionCMS: Fracture of orbital floor, left side, 7thK | Can lead a claim | E | None |
| S02.32XS | Fracture of orbital floor, left side, sequela | Can lead a claim | E | None |
| S02.4 Fracture of malar, maxillary and zygoma bones | ||||
| S02.40 Fracture of malar, maxillary and zygoma bones, unspecified | ||||
| S02.400 Malar fracture, unspecified side | ||||
| S02.400A | Malar fracture, unspecified side, initial encounter for closed fractureCMS: Malar fracture, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.400B | Malar fracture, unspecified side, initial encounter for open fractureCMS: Malar fracture, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.400D | Malar fracture, unspecified side, subsequent encounter for fracture with routine healingCMS: Malar fracture, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.400G | Malar fracture, unspecified side, subsequent encounter for fracture with delayed healingCMS: Malar fracture, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.400K | Malar fracture, unspecified side, subsequent encounter for fracture with nonunionCMS: Malar fracture, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.400S | Malar fracture, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.401 Maxillary fracture, unspecified side | ||||
| S02.401A | Maxillary fracture, unspecified side, initial encounter for closed fractureCMS: Maxillary fracture, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.401B | Maxillary fracture, unspecified side, initial encounter for open fractureCMS: Maxillary fracture, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.401D | Maxillary fracture, unspecified side, subsequent encounter for fracture with routine healingCMS: Maxillary fracture, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.401G | Maxillary fracture, unspecified side, subsequent encounter for fracture with delayed healingCMS: Maxillary fracture, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.401K | Maxillary fracture, unspecified side, subsequent encounter for fracture with nonunionCMS: Maxillary fracture, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.401S | Maxillary fracture, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.402 Zygomatic fracture, unspecified side | ||||
| S02.402A | Zygomatic fracture, unspecified side, initial encounter for closed fractureCMS: Zygomatic fracture, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.402B | Zygomatic fracture, unspecified side, initial encounter for open fractureCMS: Zygomatic fracture, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.402D | Zygomatic fracture, unspecified side, subsequent encounter for fracture with routine healingCMS: Zygomatic fracture, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.402G | Zygomatic fracture, unspecified side, subsequent encounter for fracture with delayed healingCMS: Zygomatic fracture, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.402K | Zygomatic fracture, unspecified side, subsequent encounter for fracture with nonunionCMS: Zygomatic fracture, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.402S | Zygomatic fracture, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.40A Malar fracture, right side | ||||
| S02.40AA | Malar fracture, right side, initial encounter for closed fractureCMS: Malar fracture, right side, init | Can lead a claim | E | None |
| S02.40AB | Malar fracture, right side, initial encounter for open fractureCMS: Malar fracture, right side, 7thB | Can lead a claim | E | None |
| S02.40AD | Malar fracture, right side, subsequent encounter for fracture with routine healingCMS: Malar fracture, right side, 7thD | Can lead a claim | E | None |
| S02.40AG | Malar fracture, right side, subsequent encounter for fracture with delayed healingCMS: Malar fracture, right side, 7thG | Can lead a claim | E | None |
| S02.40AK | Malar fracture, right side, subsequent encounter for fracture with nonunionCMS: Malar fracture, right side, 7thK | Can lead a claim | E | None |
| S02.40AS | Malar fracture, right side, sequela | Can lead a claim | E | None |
| S02.40B Malar fracture, left side | ||||
| S02.40BA | Malar fracture, left side, initial encounter for closed fractureCMS: Malar fracture, left side, init | Can lead a claim | E | None |
| S02.40BB | Malar fracture, left side, initial encounter for open fractureCMS: Malar fracture, left side, 7thB | Can lead a claim | E | None |
| S02.40BD | Malar fracture, left side, subsequent encounter for fracture with routine healingCMS: Malar fracture, left side, 7thD | Can lead a claim | E | None |
| S02.40BG | Malar fracture, left side, subsequent encounter for fracture with delayed healingCMS: Malar fracture, left side, 7thG | Can lead a claim | E | None |
| S02.40BK | Malar fracture, left side, subsequent encounter for fracture with nonunionCMS: Malar fracture, left side, 7thK | Can lead a claim | E | None |
| S02.40BS | Malar fracture, left side, sequela | Can lead a claim | E | None |
| S02.40C Maxillary fracture, right side | ||||
| S02.40CA | Maxillary fracture, right side, initial encounter for closed fractureCMS: Maxillary fracture, right side, init | Can lead a claim | E | None |
| S02.40CB | Maxillary fracture, right side, initial encounter for open fractureCMS: Maxillary fracture, right side, 7thB | Can lead a claim | E | None |
| S02.40CD | Maxillary fracture, right side, subsequent encounter for fracture with routine healingCMS: Maxillary fracture, right side, 7thD | Can lead a claim | E | None |
| S02.40CG | Maxillary fracture, right side, subsequent encounter for fracture with delayed healingCMS: Maxillary fracture, right side, 7thG | Can lead a claim | E | None |
| S02.40CK | Maxillary fracture, right side, subsequent encounter for fracture with nonunionCMS: Maxillary fracture, right side, 7thK | Can lead a claim | E | None |
| S02.40CS | Maxillary fracture, right side, sequela | Can lead a claim | E | None |
| S02.40D Maxillary fracture, left side | ||||
| S02.40DA | Maxillary fracture, left side, initial encounter for closed fractureCMS: Maxillary fracture, left side, init | Can lead a claim | E | None |
| S02.40DB | Maxillary fracture, left side, initial encounter for open fractureCMS: Maxillary fracture, left side, 7thB | Can lead a claim | E | None |
| S02.40DD | Maxillary fracture, left side, subsequent encounter for fracture with routine healingCMS: Maxillary fracture, left side, 7thD | Can lead a claim | E | None |
| S02.40DG | Maxillary fracture, left side, subsequent encounter for fracture with delayed healingCMS: Maxillary fracture, left side, 7thG | Can lead a claim | E | None |
| S02.40DK | Maxillary fracture, left side, subsequent encounter for fracture with nonunionCMS: Maxillary fracture, left side, 7thK | Can lead a claim | E | None |
| S02.40DS | Maxillary fracture, left side, sequela | Can lead a claim | E | None |
| S02.40E Zygomatic fracture, right side | ||||
| S02.40EA | Zygomatic fracture, right side, initial encounter for closed fractureCMS: Zygomatic fracture, right side, init | Can lead a claim | E | None |
| S02.40EB | Zygomatic fracture, right side, initial encounter for open fractureCMS: Zygomatic fracture, right side, 7thB | Can lead a claim | E | None |
| S02.40ED | Zygomatic fracture, right side, subsequent encounter for fracture with routine healingCMS: Zygomatic fracture, right side, 7thD | Can lead a claim | E | None |
| S02.40EG | Zygomatic fracture, right side, subsequent encounter for fracture with delayed healingCMS: Zygomatic fracture, right side, 7thG | Can lead a claim | E | None |
| S02.40EK | Zygomatic fracture, right side, subsequent encounter for fracture with nonunionCMS: Zygomatic fracture, right side, 7thK | Can lead a claim | E | None |
| S02.40ES | Zygomatic fracture, right side, sequela | Can lead a claim | E | None |
| S02.40F Zygomatic fracture, left side | ||||
| S02.40FA | Zygomatic fracture, left side, initial encounter for closed fractureCMS: Zygomatic fracture, left side, init | Can lead a claim | E | None |
| S02.40FB | Zygomatic fracture, left side, initial encounter for open fractureCMS: Zygomatic fracture, left side, 7thB | Can lead a claim | E | None |
| S02.40FD | Zygomatic fracture, left side, subsequent encounter for fracture with routine healingCMS: Zygomatic fracture, left side, 7thD | Can lead a claim | E | None |
| S02.40FG | Zygomatic fracture, left side, subsequent encounter for fracture with delayed healingCMS: Zygomatic fracture, left side, 7thG | Can lead a claim | E | None |
| S02.40FK | Zygomatic fracture, left side, subsequent encounter for fracture with nonunionCMS: Zygomatic fracture, left side, 7thK | Can lead a claim | E | None |
| S02.40FS | Zygomatic fracture, left side, sequela | Can lead a claim | E | None |
| S02.41 LeFort fracture | ||||
| S02.411 LeFort I fracture | ||||
| S02.411A | LeFort I fracture, initial encounter for closed fracture | Can lead a claim | E | None |
| S02.411B | LeFort I fracture, initial encounter for open fracture | Can lead a claim | E | None |
| S02.411D | LeFort I fracture, subsequent encounter for fracture with routine healingCMS: LeFort I fracture, subs for fx w routn heal | Can lead a claim | E | None |
| S02.411G | LeFort I fracture, subsequent encounter for fracture with delayed healingCMS: LeFort I fracture, subs for fx w delay heal | Can lead a claim | E | None |
| S02.411K | LeFort I fracture, subsequent encounter for fracture with nonunionCMS: LeFort I fracture, subs encntr for fracture with nonunion | Can lead a claim | E | None |
| S02.411S | LeFort I fracture, sequela | Can lead a claim | E | None |
| S02.412 LeFort II fracture | ||||
| S02.412A | LeFort II fracture, initial encounter for closed fracture | Can lead a claim | E | None |
| S02.412B | LeFort II fracture, initial encounter for open fracture | Can lead a claim | E | None |
| S02.412D | LeFort II fracture, subsequent encounter for fracture with routine healingCMS: LeFort II fracture, subs for fx w routn heal | Can lead a claim | E | None |
| S02.412G | LeFort II fracture, subsequent encounter for fracture with delayed healingCMS: LeFort II fracture, subs for fx w delay heal | Can lead a claim | E | None |
| S02.412K | LeFort II fracture, subsequent encounter for fracture with nonunionCMS: LeFort II fracture, subs encntr for fracture with nonunion | Can lead a claim | E | None |
| S02.412S | LeFort II fracture, sequela | Can lead a claim | E | None |
| S02.413 LeFort III fracture | ||||
| S02.413A | LeFort III fracture, initial encounter for closed fracture | Can lead a claim | E | None |
| S02.413B | LeFort III fracture, initial encounter for open fracture | Can lead a claim | E | None |
| S02.413D | LeFort III fracture, subsequent encounter for fracture with routine healingCMS: LeFort III fracture, subs for fx w routn heal | Can lead a claim | E | None |
| S02.413G | LeFort III fracture, subsequent encounter for fracture with delayed healingCMS: LeFort III fracture, subs for fx w delay heal | Can lead a claim | E | None |
| S02.413K | LeFort III fracture, subsequent encounter for fracture with nonunionCMS: LeFort III fracture, subs encntr for fracture with nonunion | Can lead a claim | E | None |
| S02.413S | LeFort III fracture, sequela | Can lead a claim | E | None |
| S02.42 Fracture of alveolus of maxilla | ||||
| S02.42XA | Fracture of alveolus of maxilla, initial encounter for closed fractureCMS: Fracture of alveolus of maxilla, init for clos fx | Can lead a claim | E | None |
| S02.42XB | Fracture of alveolus of maxilla, initial encounter for open fractureCMS: Fracture of alveolus of maxilla, init for opn fx | Can lead a claim | E | None |
| S02.42XD | Fracture of alveolus of maxilla, subsequent encounter for fracture with routine healingCMS: Fracture of alveolus of maxilla, subs for fx w routn heal | Can lead a claim | E | None |
| S02.42XG | Fracture of alveolus of maxilla, subsequent encounter for fracture with delayed healingCMS: Fracture of alveolus of maxilla, subs for fx w delay heal | Can lead a claim | E | None |
| S02.42XK | Fracture of alveolus of maxilla, subsequent encounter for fracture with nonunionCMS: Fracture of alveolus of maxilla, subs for fx w nonunion | Can lead a claim | E | None |
| S02.42XS | Fracture of alveolus of maxilla, sequela | Can lead a claim | E | None |
| S02.5 Fracture of tooth (traumatic) | ||||
| S02.5XXA | Fracture of tooth (traumatic), initial encounter for closed fractureCMS: Fracture of tooth (traumatic), init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.5XXB | Fracture of tooth (traumatic), initial encounter for open fractureCMS: Fracture of tooth (traumatic), init encntr for open fracture | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.5XXD | Fracture of tooth (traumatic), subsequent encounter for fracture with routine healingCMS: Fracture of tooth (traumatic), subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.5XXG | Fracture of tooth (traumatic), subsequent encounter for fracture with delayed healingCMS: Fracture of tooth (traumatic), subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.5XXK | Fracture of tooth (traumatic), subsequent encounter for fracture with nonunionCMS: Fracture of tooth (traumatic), subs for fx w nonunion | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.5XXS | Fracture of tooth (traumatic), sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.6 Fracture of mandible | ||||
| S02.60 Fracture of mandible, unspecified | ||||
| S02.600 Fracture of unspecified part of body of mandible, unspecified side | ||||
| S02.600A | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fractureCMS: Fx unsp part of body of mandible, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.600B | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fractureCMS: Fx unsp part of body of mandible, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.600D | Fracture of unspecified part of body of mandible, unspecified side, subsequent encounter for fracture with routine healingCMS: Fx unsp part of body of mandible, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.600G | Fracture of unspecified part of body of mandible, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fx unsp part of body of mandible, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.600K | Fracture of unspecified part of body of mandible, unspecified side, subsequent encounter for fracture with nonunionCMS: Fx unsp part of body of mandible, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.600S | Fracture of unspecified part of body of mandible, unspecified side, sequelaCMS: Fx unsp part of body of mandible, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.601 Fracture of unspecified part of body of right mandible | ||||
| S02.601A | Fracture of unspecified part of body of right mandible, initial encounter for closed fractureCMS: Fracture of unspecified part of body of right mandible, init | Can lead a claim | E | None |
| S02.601B | Fracture of unspecified part of body of right mandible, initial encounter for open fractureCMS: Fracture of unspecified part of body of right mandible, 7thB | Can lead a claim | E | None |
| S02.601D | Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with routine healingCMS: Fracture of unspecified part of body of right mandible, 7thD | Can lead a claim | E | None |
| S02.601G | Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of unspecified part of body of right mandible, 7thG | Can lead a claim | E | None |
| S02.601K | Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with nonunionCMS: Fracture of unspecified part of body of right mandible, 7thK | Can lead a claim | E | None |
| S02.601S | Fracture of unspecified part of body of right mandible, sequelaCMS: Fx unspecified part of body of right mandible, sequela | Can lead a claim | E | None |
| S02.602 Fracture of unspecified part of body of left mandible | ||||
| S02.602A | Fracture of unspecified part of body of left mandible, initial encounter for closed fractureCMS: Fracture of unspecified part of body of left mandible, init | Can lead a claim | E | None |
| S02.602B | Fracture of unspecified part of body of left mandible, initial encounter for open fractureCMS: Fracture of unspecified part of body of left mandible, 7thB | Can lead a claim | E | None |
| S02.602D | Fracture of unspecified part of body of left mandible, subsequent encounter for fracture with routine healingCMS: Fracture of unspecified part of body of left mandible, 7thD | Can lead a claim | E | None |
| S02.602G | Fracture of unspecified part of body of left mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of unspecified part of body of left mandible, 7thG | Can lead a claim | E | None |
| S02.602K | Fracture of unspecified part of body of left mandible, subsequent encounter for fracture with nonunionCMS: Fracture of unspecified part of body of left mandible, 7thK | Can lead a claim | E | None |
| S02.602S | Fracture of unspecified part of body of left mandible, sequelaCMS: Fx unspecified part of body of left mandible, sequela | Can lead a claim | E | None |
| S02.609 Fracture of mandible, unspecified | ||||
| S02.609A | Fracture of mandible, unspecified, initial encounter for closed fractureCMS: Fracture of mandible, unsp, init encntr for closed fracture | Can lead a claim | E | None |
| S02.609B | Fracture of mandible, unspecified, initial encounter for open fractureCMS: Fracture of mandible, unsp, init encntr for open fracture | Can lead a claim | E | None |
| S02.609D | Fracture of mandible, unspecified, subsequent encounter for fracture with routine healingCMS: Fracture of mandible, unsp, subs for fx w routn heal | Can lead a claim | E | None |
| S02.609G | Fracture of mandible, unspecified, subsequent encounter for fracture with delayed healingCMS: Fracture of mandible, unsp, subs for fx w delay heal | Can lead a claim | E | None |
| S02.609K | Fracture of mandible, unspecified, subsequent encounter for fracture with nonunionCMS: Fracture of mandible, unsp, subs for fx w nonunion | Can lead a claim | E | None |
| S02.609S | Fracture of mandible, unspecified, sequela | Can lead a claim | E | None |
| S02.61 Fracture of condylar process of mandible | ||||
| S02.610 Fracture of condylar process of mandible, unspecified side | ||||
| S02.610A | Fracture of condylar process of mandible, unspecified side, initial encounter for closed fractureCMS: Fx condylar process of mandible, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.610B | Fracture of condylar process of mandible, unspecified side, initial encounter for open fractureCMS: Fx condylar process of mandible, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.610D | Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with routine healingCMS: Fx condylar process of mandible, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.610G | Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fx condylar process of mandible, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.610K | Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with nonunionCMS: Fx condylar process of mandible, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.610S | Fracture of condylar process of mandible, unspecified side, sequelaCMS: Fx condylar process of mandible, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.611 Fracture of condylar process of right mandible | ||||
| S02.611A | Fracture of condylar process of right mandible, initial encounter for closed fractureCMS: Fracture of condylar process of right mandible, init | Can lead a claim | E | None |
| S02.611B | Fracture of condylar process of right mandible, initial encounter for open fractureCMS: Fracture of condylar process of right mandible, 7thB | Can lead a claim | E | None |
| S02.611D | Fracture of condylar process of right mandible, subsequent encounter for fracture with routine healingCMS: Fracture of condylar process of right mandible, 7thD | Can lead a claim | E | None |
| S02.611G | Fracture of condylar process of right mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of condylar process of right mandible, 7thG | Can lead a claim | E | None |
| S02.611K | Fracture of condylar process of right mandible, subsequent encounter for fracture with nonunionCMS: Fracture of condylar process of right mandible, 7thK | Can lead a claim | E | None |
| S02.611S | Fracture of condylar process of right mandible, sequela | Can lead a claim | E | None |
| S02.612 Fracture of condylar process of left mandible | ||||
| S02.612A | Fracture of condylar process of left mandible, initial encounter for closed fractureCMS: Fracture of condylar process of left mandible, init | Can lead a claim | E | None |
| S02.612B | Fracture of condylar process of left mandible, initial encounter for open fractureCMS: Fracture of condylar process of left mandible, 7thB | Can lead a claim | E | None |
| S02.612D | Fracture of condylar process of left mandible, subsequent encounter for fracture with routine healingCMS: Fracture of condylar process of left mandible, 7thD | Can lead a claim | E | None |
| S02.612G | Fracture of condylar process of left mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of condylar process of left mandible, 7thG | Can lead a claim | E | None |
| S02.612K | Fracture of condylar process of left mandible, subsequent encounter for fracture with nonunionCMS: Fracture of condylar process of left mandible, 7thK | Can lead a claim | E | None |
| S02.612S | Fracture of condylar process of left mandible, sequela | Can lead a claim | E | None |
| S02.62 Fracture of subcondylar process of mandible | ||||
| S02.620 Fracture of subcondylar process of mandible, unspecified side | ||||
| S02.620A | Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fractureCMS: Fx subcondylar process of mandible, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.620B | Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fractureCMS: Fx subcondylar process of mandible, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.620D | Fracture of subcondylar process of mandible, unspecified side, subsequent encounter for fracture with routine healingCMS: Fx subcondylar process of mandible, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.620G | Fracture of subcondylar process of mandible, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fx subcondylar process of mandible, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.620K | Fracture of subcondylar process of mandible, unspecified side, subsequent encounter for fracture with nonunionCMS: Fx subcondylar process of mandible, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.620S | Fracture of subcondylar process of mandible, unspecified side, sequelaCMS: Fx subcondylar process of mandible, unsp side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.621 Fracture of subcondylar process of right mandible | ||||
| S02.621A | Fracture of subcondylar process of right mandible, initial encounter for closed fractureCMS: Fracture of subcondylar process of right mandible, init | Can lead a claim | E | None |
| S02.621B | Fracture of subcondylar process of right mandible, initial encounter for open fractureCMS: Fracture of subcondylar process of right mandible, 7thB | Can lead a claim | E | None |
| S02.621D | Fracture of subcondylar process of right mandible, subsequent encounter for fracture with routine healingCMS: Fracture of subcondylar process of right mandible, 7thD | Can lead a claim | E | None |
| S02.621G | Fracture of subcondylar process of right mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of subcondylar process of right mandible, 7thG | Can lead a claim | E | None |
| S02.621K | Fracture of subcondylar process of right mandible, subsequent encounter for fracture with nonunionCMS: Fracture of subcondylar process of right mandible, 7thK | Can lead a claim | E | None |
| S02.621S | Fracture of subcondylar process of right mandible, sequela | Can lead a claim | E | None |
| S02.622 Fracture of subcondylar process of left mandible | ||||
| S02.622A | Fracture of subcondylar process of left mandible, initial encounter for closed fractureCMS: Fracture of subcondylar process of left mandible, init | Can lead a claim | E | None |
| S02.622B | Fracture of subcondylar process of left mandible, initial encounter for open fractureCMS: Fracture of subcondylar process of left mandible, 7thB | Can lead a claim | E | None |
| S02.622D | Fracture of subcondylar process of left mandible, subsequent encounter for fracture with routine healingCMS: Fracture of subcondylar process of left mandible, 7thD | Can lead a claim | E | None |
| S02.622G | Fracture of subcondylar process of left mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of subcondylar process of left mandible, 7thG | Can lead a claim | E | None |
| S02.622K | Fracture of subcondylar process of left mandible, subsequent encounter for fracture with nonunionCMS: Fracture of subcondylar process of left mandible, 7thK | Can lead a claim | E | None |
| S02.622S | Fracture of subcondylar process of left mandible, sequela | Can lead a claim | E | None |
| S02.63 Fracture of coronoid process of mandible | ||||
| S02.630 Fracture of coronoid process of mandible, unspecified side | ||||
| S02.630A | Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fractureCMS: Fx coronoid process of mandible, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.630B | Fracture of coronoid process of mandible, unspecified side, initial encounter for open fractureCMS: Fx coronoid process of mandible, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.630D | Fracture of coronoid process of mandible, unspecified side, subsequent encounter for fracture with routine healingCMS: Fx coronoid process of mandible, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.630G | Fracture of coronoid process of mandible, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fx coronoid process of mandible, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.630K | Fracture of coronoid process of mandible, unspecified side, subsequent encounter for fracture with nonunionCMS: Fx coronoid process of mandible, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.630S | Fracture of coronoid process of mandible, unspecified side, sequelaCMS: Fx coronoid process of mandible, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.631 Fracture of coronoid process of right mandible | ||||
| S02.631A | Fracture of coronoid process of right mandible, initial encounter for closed fractureCMS: Fracture of coronoid process of right mandible, init | Can lead a claim | E | None |
| S02.631B | Fracture of coronoid process of right mandible, initial encounter for open fractureCMS: Fracture of coronoid process of right mandible, 7thB | Can lead a claim | E | None |
| S02.631D | Fracture of coronoid process of right mandible, subsequent encounter for fracture with routine healingCMS: Fracture of coronoid process of right mandible, 7thD | Can lead a claim | E | None |
| S02.631G | Fracture of coronoid process of right mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of coronoid process of right mandible, 7thG | Can lead a claim | E | None |
| S02.631K | Fracture of coronoid process of right mandible, subsequent encounter for fracture with nonunionCMS: Fracture of coronoid process of right mandible, 7thK | Can lead a claim | E | None |
| S02.631S | Fracture of coronoid process of right mandible, sequela | Can lead a claim | E | None |
| S02.632 Fracture of coronoid process of left mandible | ||||
| S02.632A | Fracture of coronoid process of left mandible, initial encounter for closed fractureCMS: Fracture of coronoid process of left mandible, init | Can lead a claim | E | None |
| S02.632B | Fracture of coronoid process of left mandible, initial encounter for open fractureCMS: Fracture of coronoid process of left mandible, 7thB | Can lead a claim | E | None |
| S02.632D | Fracture of coronoid process of left mandible, subsequent encounter for fracture with routine healingCMS: Fracture of coronoid process of left mandible, 7thD | Can lead a claim | E | None |
| S02.632G | Fracture of coronoid process of left mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of coronoid process of left mandible, 7thG | Can lead a claim | E | None |
| S02.632K | Fracture of coronoid process of left mandible, subsequent encounter for fracture with nonunionCMS: Fracture of coronoid process of left mandible, 7thK | Can lead a claim | E | None |
| S02.632S | Fracture of coronoid process of left mandible, sequela | Can lead a claim | E | None |
| S02.64 Fracture of ramus of mandible | ||||
| S02.640 Fracture of ramus of mandible, unspecified side | ||||
| S02.640A | Fracture of ramus of mandible, unspecified side, initial encounter for closed fractureCMS: Fracture of ramus of mandible, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.640B | Fracture of ramus of mandible, unspecified side, initial encounter for open fractureCMS: Fracture of ramus of mandible, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.640D | Fracture of ramus of mandible, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of ramus of mandible, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.640G | Fracture of ramus of mandible, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of ramus of mandible, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.640K | Fracture of ramus of mandible, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of ramus of mandible, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.640S | Fracture of ramus of mandible, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.641 Fracture of ramus of right mandible | ||||
| S02.641A | Fracture of ramus of right mandible, initial encounter for closed fractureCMS: Fracture of ramus of right mandible, init | Can lead a claim | E | None |
| S02.641B | Fracture of ramus of right mandible, initial encounter for open fractureCMS: Fracture of ramus of right mandible, 7thB | Can lead a claim | E | None |
| S02.641D | Fracture of ramus of right mandible, subsequent encounter for fracture with routine healingCMS: Fracture of ramus of right mandible, 7thD | Can lead a claim | E | None |
| S02.641G | Fracture of ramus of right mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of ramus of right mandible, 7thG | Can lead a claim | E | None |
| S02.641K | Fracture of ramus of right mandible, subsequent encounter for fracture with nonunionCMS: Fracture of ramus of right mandible, 7thK | Can lead a claim | E | None |
| S02.641S | Fracture of ramus of right mandible, sequela | Can lead a claim | E | None |
| S02.642 Fracture of ramus of left mandible | ||||
| S02.642A | Fracture of ramus of left mandible, initial encounter for closed fractureCMS: Fracture of ramus of left mandible, init | Can lead a claim | E | None |
| S02.642B | Fracture of ramus of left mandible, initial encounter for open fractureCMS: Fracture of ramus of left mandible, 7thB | Can lead a claim | E | None |
| S02.642D | Fracture of ramus of left mandible, subsequent encounter for fracture with routine healingCMS: Fracture of ramus of left mandible, 7thD | Can lead a claim | E | None |
| S02.642G | Fracture of ramus of left mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of ramus of left mandible, 7thG | Can lead a claim | E | None |
| S02.642K | Fracture of ramus of left mandible, subsequent encounter for fracture with nonunionCMS: Fracture of ramus of left mandible, 7thK | Can lead a claim | E | None |
| S02.642S | Fracture of ramus of left mandible, sequela | Can lead a claim | E | None |
| S02.65 Fracture of angle of mandible | ||||
| S02.650 Fracture of angle of mandible, unspecified side | ||||
| S02.650A | Fracture of angle of mandible, unspecified side, initial encounter for closed fractureCMS: Fracture of angle of mandible, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.650B | Fracture of angle of mandible, unspecified side, initial encounter for open fractureCMS: Fracture of angle of mandible, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.650D | Fracture of angle of mandible, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of angle of mandible, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.650G | Fracture of angle of mandible, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of angle of mandible, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.650K | Fracture of angle of mandible, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of angle of mandible, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.650S | Fracture of angle of mandible, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.651 Fracture of angle of right mandible | ||||
| S02.651A | Fracture of angle of right mandible, initial encounter for closed fractureCMS: Fracture of angle of right mandible, init | Can lead a claim | E | None |
| S02.651B | Fracture of angle of right mandible, initial encounter for open fractureCMS: Fracture of angle of right mandible, 7thB | Can lead a claim | E | None |
| S02.651D | Fracture of angle of right mandible, subsequent encounter for fracture with routine healingCMS: Fracture of angle of right mandible, 7thD | Can lead a claim | E | None |
| S02.651G | Fracture of angle of right mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of angle of right mandible, 7thG | Can lead a claim | E | None |
| S02.651K | Fracture of angle of right mandible, subsequent encounter for fracture with nonunionCMS: Fracture of angle of right mandible, 7thK | Can lead a claim | E | None |
| S02.651S | Fracture of angle of right mandible, sequela | Can lead a claim | E | None |
| S02.652 Fracture of angle of left mandible | ||||
| S02.652A | Fracture of angle of left mandible, initial encounter for closed fractureCMS: Fracture of angle of left mandible, init | Can lead a claim | E | None |
| S02.652B | Fracture of angle of left mandible, initial encounter for open fractureCMS: Fracture of angle of left mandible, 7thB | Can lead a claim | E | None |
| S02.652D | Fracture of angle of left mandible, subsequent encounter for fracture with routine healingCMS: Fracture of angle of left mandible, 7thD | Can lead a claim | E | None |
| S02.652G | Fracture of angle of left mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of angle of left mandible, 7thG | Can lead a claim | E | None |
| S02.652K | Fracture of angle of left mandible, subsequent encounter for fracture with nonunionCMS: Fracture of angle of left mandible, 7thK | Can lead a claim | E | None |
| S02.652S | Fracture of angle of left mandible, sequela | Can lead a claim | E | None |
| S02.66 Fracture of symphysis of mandible | ||||
| S02.66XA | Fracture of symphysis of mandible, initial encounter for closed fractureCMS: Fracture of symphysis of mandible, init for clos fx | Can lead a claim | E | None |
| S02.66XB | Fracture of symphysis of mandible, initial encounter for open fractureCMS: Fracture of symphysis of mandible, init for opn fx | Can lead a claim | E | None |
| S02.66XD | Fracture of symphysis of mandible, subsequent encounter for fracture with routine healingCMS: Fracture of symphysis of mandible, subs for fx w routn heal | Can lead a claim | E | None |
| S02.66XG | Fracture of symphysis of mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of symphysis of mandible, subs for fx w delay heal | Can lead a claim | E | None |
| S02.66XK | Fracture of symphysis of mandible, subsequent encounter for fracture with nonunionCMS: Fracture of symphysis of mandible, subs for fx w nonunion | Can lead a claim | E | None |
| S02.66XS | Fracture of symphysis of mandible, sequela | Can lead a claim | E | None |
| S02.67 Fracture of alveolus of mandible | ||||
| S02.670 Fracture of alveolus of mandible, unspecified side | ||||
| S02.670A | Fracture of alveolus of mandible, unspecified side, initial encounter for closed fractureCMS: Fracture of alveolus of mandible, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.670B | Fracture of alveolus of mandible, unspecified side, initial encounter for open fractureCMS: Fracture of alveolus of mandible, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.670D | Fracture of alveolus of mandible, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of alveolus of mandible, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.670G | Fracture of alveolus of mandible, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of alveolus of mandible, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.670K | Fracture of alveolus of mandible, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of alveolus of mandible, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.670S | Fracture of alveolus of mandible, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.671 Fracture of alveolus of right mandible | ||||
| S02.671A | Fracture of alveolus of right mandible, initial encounter for closed fractureCMS: Fracture of alveolus of right mandible, init | Can lead a claim | E | None |
| S02.671B | Fracture of alveolus of right mandible, initial encounter for open fractureCMS: Fracture of alveolus of right mandible, 7thB | Can lead a claim | E | None |
| S02.671D | Fracture of alveolus of right mandible, subsequent encounter for fracture with routine healingCMS: Fracture of alveolus of right mandible, 7thD | Can lead a claim | E | None |
| S02.671G | Fracture of alveolus of right mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of alveolus of right mandible, 7thG | Can lead a claim | E | None |
| S02.671K | Fracture of alveolus of right mandible, subsequent encounter for fracture with nonunionCMS: Fracture of alveolus of right mandible, 7thK | Can lead a claim | E | None |
| S02.671S | Fracture of alveolus of right mandible, sequela | Can lead a claim | E | None |
| S02.672 Fracture of alveolus of left mandible | ||||
| S02.672A | Fracture of alveolus of left mandible, initial encounter for closed fractureCMS: Fracture of alveolus of left mandible, init | Can lead a claim | E | None |
| S02.672B | Fracture of alveolus of left mandible, initial encounter for open fractureCMS: Fracture of alveolus of left mandible, 7thB | Can lead a claim | E | None |
| S02.672D | Fracture of alveolus of left mandible, subsequent encounter for fracture with routine healingCMS: Fracture of alveolus of left mandible, 7thD | Can lead a claim | E | None |
| S02.672G | Fracture of alveolus of left mandible, subsequent encounter for fracture with delayed healingCMS: Fracture of alveolus of left mandible, 7thG | Can lead a claim | E | None |
| S02.672K | Fracture of alveolus of left mandible, subsequent encounter for fracture with nonunionCMS: Fracture of alveolus of left mandible, 7thK | Can lead a claim | E | None |
| S02.672S | Fracture of alveolus of left mandible, sequela | Can lead a claim | E | None |
| S02.69 Fracture of mandible of other specified site | ||||
| S02.69XA | Fracture of mandible of other specified site, initial encounter for closed fractureCMS: Fracture of mandible of oth site, init for clos fx | Can lead a claim | E | None |
| S02.69XB | Fracture of mandible of other specified site, initial encounter for open fractureCMS: Fracture of mandible of oth site, init for opn fx | Can lead a claim | E | None |
| S02.69XD | Fracture of mandible of other specified site, subsequent encounter for fracture with routine healingCMS: Fracture of mandible of oth site, subs for fx w routn heal | Can lead a claim | E | None |
| S02.69XG | Fracture of mandible of other specified site, subsequent encounter for fracture with delayed healingCMS: Fracture of mandible of oth site, subs for fx w delay heal | Can lead a claim | E | None |
| S02.69XK | Fracture of mandible of other specified site, subsequent encounter for fracture with nonunionCMS: Fracture of mandible of oth site, subs for fx w nonunion | Can lead a claim | E | None |
| S02.69XS | Fracture of mandible of other specified site, sequela | Can lead a claim | E | None |
| S02.8 Fractures of other specified skull and facial bones | ||||
| S02.80 Fracture of other specified skull and facial bones, unspecified side | ||||
| S02.80XA | Fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fractureCMS: Fx oth skull and facial bones, unspecified side, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.80XB | Fracture of other specified skull and facial bones, unspecified side, initial encounter for open fractureCMS: Fx oth skull and facial bones, unspecified side, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.80XD | Fracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with routine healingCMS: Fx oth skull and facial bones, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.80XG | Fracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fx oth skull and facial bones, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.80XK | Fracture of other specified skull and facial bones, unspecified side, subsequent encounter for fracture with nonunionCMS: Fx oth skull and facial bones, unspecified side, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S02.80XS | Fracture of other specified skull and facial bones, unspecified side, sequelaCMS: Fx oth skull and facial bones, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.81 Fracture of other specified skull and facial bones, right side | ||||
| S02.81XA | Fracture of other specified skull and facial bones, right side, initial encounter for closed fractureCMS: Fracture of oth skull and facial bones, right side, init | Can lead a claim | E | None |
| S02.81XB | Fracture of other specified skull and facial bones, right side, initial encounter for open fractureCMS: Fracture of oth skull and facial bones, right side, 7thB | Can lead a claim | E | None |
| S02.81XD | Fracture of other specified skull and facial bones, right side, subsequent encounter for fracture with routine healingCMS: Fracture of oth skull and facial bones, right side, 7thD | Can lead a claim | E | None |
| S02.81XG | Fracture of other specified skull and facial bones, right side, subsequent encounter for fracture with delayed healingCMS: Fracture of oth skull and facial bones, right side, 7thG | Can lead a claim | E | None |
| S02.81XK | Fracture of other specified skull and facial bones, right side, subsequent encounter for fracture with nonunionCMS: Fracture of oth skull and facial bones, right side, 7thK | Can lead a claim | E | None |
| S02.81XS | Fracture of other specified skull and facial bones, right side, sequelaCMS: Fracture of oth skull and facial bones, right side, sequela | Can lead a claim | E | None |
| S02.82 Fracture of other specified skull and facial bones, left side | ||||
| S02.82XA | Fracture of other specified skull and facial bones, left side, initial encounter for closed fractureCMS: Fracture of oth skull and facial bones, left side, init | Can lead a claim | E | None |
| S02.82XB | Fracture of other specified skull and facial bones, left side, initial encounter for open fractureCMS: Fracture of oth skull and facial bones, left side, 7thB | Can lead a claim | E | None |
| S02.82XD | Fracture of other specified skull and facial bones, left side, subsequent encounter for fracture with routine healingCMS: Fracture of oth skull and facial bones, left side, 7thD | Can lead a claim | E | None |
| S02.82XG | Fracture of other specified skull and facial bones, left side, subsequent encounter for fracture with delayed healingCMS: Fracture of oth skull and facial bones, left side, 7thG | Can lead a claim | E | None |
| S02.82XK | Fracture of other specified skull and facial bones, left side, subsequent encounter for fracture with nonunionCMS: Fracture of oth skull and facial bones, left side, 7thK | Can lead a claim | E | None |
| S02.82XS | Fracture of other specified skull and facial bones, left side, sequelaCMS: Fracture of oth skull and facial bones, left side, sequela | Can lead a claim | E | None |
| S02.83 Fracture of medial orbital wall | ||||
| S02.831 Fracture of medial orbital wall, right side | ||||
| S02.831A | Fracture of medial orbital wall, right side, initial encounter for closed fractureCMS: Fracture of medial orbital wall, right side, init | Can lead a claim | E | None |
| S02.831B | Fracture of medial orbital wall, right side, initial encounter for open fractureCMS: Fracture of medial orbital wall, right side, 7thB | Can lead a claim | E | None |
| S02.831D | Fracture of medial orbital wall, right side, subsequent encounter for fracture with routine healingCMS: Fracture of medial orbital wall, right side, 7thD | Can lead a claim | E | None |
| S02.831G | Fracture of medial orbital wall, right side, subsequent encounter for fracture with delayed healingCMS: Fracture of medial orbital wall, right side, 7thG | Can lead a claim | E | None |
| S02.831K | Fracture of medial orbital wall, right side, subsequent encounter for fracture with nonunionCMS: Fracture of medial orbital wall, right side, 7thK | Can lead a claim | E | None |
| S02.831S | Fracture of medial orbital wall, right side, sequela | Can lead a claim | E | None |
| S02.832 Fracture of medial orbital wall, left side | ||||
| S02.832A | Fracture of medial orbital wall, left side, initial encounter for closed fractureCMS: Fracture of medial orbital wall, left side, init | Can lead a claim | E | None |
| S02.832B | Fracture of medial orbital wall, left side, initial encounter for open fractureCMS: Fracture of medial orbital wall, left side, 7thB | Can lead a claim | E | None |
| S02.832D | Fracture of medial orbital wall, left side, subsequent encounter for fracture with routine healingCMS: Fracture of medial orbital wall, left side, 7thD | Can lead a claim | E | None |
| S02.832G | Fracture of medial orbital wall, left side, subsequent encounter for fracture with delayed healingCMS: Fracture of medial orbital wall, left side, 7thG | Can lead a claim | E | None |
| S02.832K | Fracture of medial orbital wall, left side, subsequent encounter for fracture with nonunionCMS: Fracture of medial orbital wall, left side, 7thK | Can lead a claim | E | None |
| S02.832S | Fracture of medial orbital wall, left side, sequela | Can lead a claim | E | None |
| S02.839 Fracture of medial orbital wall, unspecified side | ||||
| S02.839A | Fracture of medial orbital wall, unspecified side, initial encounter for closed fractureCMS: Fracture of medial orbital wall, unspecified side, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.839B | Fracture of medial orbital wall, unspecified side, initial encounter for open fractureCMS: Fracture of medial orbital wall, unspecified side, 7thB | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.839D | Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of medial orbital wall, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.839G | Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of medial orbital wall, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.839K | Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of medial orbital wall, unspecified side, 7thK | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.839S | Fracture of medial orbital wall, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.84 Fracture of lateral orbital wall | ||||
| S02.841 Fracture of lateral orbital wall, right side | ||||
| S02.841A | Fracture of lateral orbital wall, right side, initial encounter for closed fractureCMS: Fracture of lateral orbital wall, right side, init | Can lead a claim | E | None |
| S02.841B | Fracture of lateral orbital wall, right side, initial encounter for open fractureCMS: Fracture of lateral orbital wall, right side, 7thB | Can lead a claim | E | None |
| S02.841D | Fracture of lateral orbital wall, right side, subsequent encounter for fracture with routine healingCMS: Fracture of lateral orbital wall, right side, 7thD | Can lead a claim | E | None |
| S02.841G | Fracture of lateral orbital wall, right side, subsequent encounter for fracture with delayed healingCMS: Fracture of lateral orbital wall, right side, 7thG | Can lead a claim | E | None |
| S02.841K | Fracture of lateral orbital wall, right side, subsequent encounter for fracture with nonunionCMS: Fracture of lateral orbital wall, right side, 7thK | Can lead a claim | E | None |
| S02.841S | Fracture of lateral orbital wall, right side, sequela | Can lead a claim | E | None |
| S02.842 Fracture of lateral orbital wall, left side | ||||
| S02.842A | Fracture of lateral orbital wall, left side, initial encounter for closed fractureCMS: Fracture of lateral orbital wall, left side, init | Can lead a claim | E | None |
| S02.842B | Fracture of lateral orbital wall, left side, initial encounter for open fractureCMS: Fracture of lateral orbital wall, left side, 7thB | Can lead a claim | E | None |
| S02.842D | Fracture of lateral orbital wall, left side, subsequent encounter for fracture with routine healingCMS: Fracture of lateral orbital wall, left side, 7thD | Can lead a claim | E | None |
| S02.842G | Fracture of lateral orbital wall, left side, subsequent encounter for fracture with delayed healingCMS: Fracture of lateral orbital wall, left side, 7thG | Can lead a claim | E | None |
| S02.842K | Fracture of lateral orbital wall, left side, subsequent encounter for fracture with nonunionCMS: Fracture of lateral orbital wall, left side, 7thK | Can lead a claim | E | None |
| S02.842S | Fracture of lateral orbital wall, left side, sequela | Can lead a claim | E | None |
| S02.849 Fracture of lateral orbital wall, unspecified side | ||||
| S02.849A | Fracture of lateral orbital wall, unspecified side, initial encounter for closed fractureCMS: Fracture of lateral orbital wall, unspecified side, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.849B | Fracture of lateral orbital wall, unspecified side, initial encounter for open fractureCMS: Fracture of lateral orbital wall, unspecified side, 7thB | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.849D | Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with routine healingCMS: Fracture of lateral orbital wall, unspecified side, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.849G | Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with delayed healingCMS: Fracture of lateral orbital wall, unspecified side, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.849K | Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with nonunionCMS: Fracture of lateral orbital wall, unspecified side, 7thK | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.849S | Fracture of lateral orbital wall, unspecified side, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.85 Fracture of orbit, unspecified | ||||
| S02.85XA | Fracture of orbit, unspecified, initial encounter for closed fractureCMS: Fracture of orbit, unspecified, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.85XB | Fracture of orbit, unspecified, initial encounter for open fractureCMS: Fracture of orbit, unspecified, 7thB | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.85XD | Fracture of orbit, unspecified, subsequent encounter for fracture with routine healingCMS: Fracture of orbit, unspecified, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.85XG | Fracture of orbit, unspecified, subsequent encounter for fracture with delayed healingCMS: Fracture of orbit, unspecified, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.85XK | Fracture of orbit, unspecified, subsequent encounter for fracture with nonunionCMS: Fracture of orbit, unspecified, 7thK | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.85XS | Fracture of orbit, unspecified, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S02.9 Fracture of unspecified skull and facial bones | ||||
| S02.91 Unspecified fracture of skull | ||||
| S02.91XA | Unspecified fracture of skull, initial encounter for closed fractureCMS: Unsp fracture of skull, init encntr for closed fracture | Can lead a claim | E | None |
| S02.91XB | Unspecified fracture of skull, initial encounter for open fractureCMS: Unspecified fracture of skull, init encntr for open fracture | Can lead a claim | E | None |
| S02.91XD | Unspecified fracture of skull, subsequent encounter for fracture with routine healingCMS: Unsp fracture of skull, subs for fx w routn heal | Can lead a claim | E | None |
| S02.91XG | Unspecified fracture of skull, subsequent encounter for fracture with delayed healingCMS: Unsp fracture of skull, subs for fx w delay heal | Can lead a claim | E | None |
| S02.91XK | Unspecified fracture of skull, subsequent encounter for fracture with nonunionCMS: Unsp fracture of skull, subs encntr for fracture w nonunion | Can lead a claim | E | None |
| S02.91XS | Unspecified fracture of skull, sequela | Can lead a claim | E | None |
| S02.92 Unspecified fracture of facial bones | ||||
| S02.92XA | Unspecified fracture of facial bones, initial encounter for closed fractureCMS: Unsp fracture of facial bones, init for clos fx | Can lead a claim | E | None |
| S02.92XB | Unspecified fracture of facial bones, initial encounter for open fractureCMS: Unsp fracture of facial bones, init encntr for open fracture | Can lead a claim | E | None |
| S02.92XD | Unspecified fracture of facial bones, subsequent encounter for fracture with routine healingCMS: Unsp fracture of facial bones, subs for fx w routn heal | Can lead a claim | E | None |
| S02.92XG | Unspecified fracture of facial bones, subsequent encounter for fracture with delayed healingCMS: Unsp fracture of facial bones, subs for fx w delay heal | Can lead a claim | E | None |
| S02.92XK | Unspecified fracture of facial bones, subsequent encounter for fracture with nonunionCMS: Unsp fracture of facial bones, subs for fx w nonunion | Can lead a claim | E | None |
| S02.92XS | Unspecified fracture of facial bones, sequela | Can lead a claim | E | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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