S02.411B

LeFort I fracture, initial encounter for open fracture

Billable / specificHCC V28 399

S02.411B is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from S02)

  • injuries of ear
  • injuries of eye
  • injuries of face [any part]
  • injuries of gum
  • injuries of jaw
  • injuries of oral cavity
  • injuries of palate
  • injuries of periocular area
  • injuries of scalp
  • injuries of temporomandibular joint area
  • injuries of tongue
  • injuries of tooth
  • Note: Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • Note: The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
  • Note: A fracture not indicated as open or closed should be coded to closed

Excludes2

Not included here — may be reported together when both conditions exist.

  • birth trauma (P10-P15) (from S02)
  • obstetric trauma (O70-O71) (from S02)
  • burns and corrosions (T20-T32) (from S02)
  • effects of foreign body in ear (T16) (from S02)
  • effects of foreign body in larynx (T17.3) (from S02)
  • effects of foreign body in mouth NOS (T18.0) (from S02)
  • effects of foreign body in nose (T17.0-T17.1) (from S02)
  • effects of foreign body in pharynx (T17.2) (from S02)
  • effects of foreign body on external eye (T15.-) (from S02)
  • frostbite (T33-T34) (from S02)
  • insect bite or sting, venomous (T63.4) (from S02)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-) (from S02)

Code also

An additional code may be needed.

  • for any associated infection (from S02)
  • any associated intracranial injury (S06.-) (from S02)

7th character

The 7th character values that apply to this code (defined at S02). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Ssequela

Parent code

  • S02.411LeFort I fractureNeeds 7th char

Related codes

  • S02.411ALeFort I fracture, initial encounter for closed fractureBillable
  • S02.411DLeFort I fracture, subsequent encounter for fracture with routine healingBillable
  • S02.411GLeFort I fracture, subsequent encounter for fracture with delayed healingBillable
  • S02.411KLeFort I fracture, subsequent encounter for fracture with nonunionBillable
  • S02.411SLeFort I fracture, sequelaBillable

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