S02.401 — Maxillary fracture, unspecified side
Is S02.401 billable?
No — S02.401 is a non-billable header code. S02.401 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 6 billable codes beneath S02.401.
Billable codes under this header
- S02.401AMaxillary fracture, unspecified side, initial encounter for closed fracture
- S02.401BMaxillary fracture, unspecified side, initial encounter for open fracture
- S02.401DMaxillary fracture, unspecified side, subsequent encounter for fracture with routine healing
- S02.401GMaxillary fracture, unspecified side, subsequent encounter for fracture with delayed healing
- S02.401KMaxillary fracture, unspecified side, subsequent encounter for fracture with nonunion
- S02.401SMaxillary fracture, unspecified side, sequela
S02.401 at a glance
| Code | S02.401 |
|---|---|
| Description | Maxillary fracture, unspecified side |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S02.401 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S02.401. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › maxilla, maxillary (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.401 to fully describe the condition. S02.401 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S02.401, but a patient may have both at the same time. When documentation supports it, S02.401 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.401, but a patient may have both at the same time. When documentation supports it, S02.401 and the excluded code may both be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S02.401 is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S02
Two codes may be needed to describe the condition fully. Whether S02.401 is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
What codes fall under S02.401? (6)
- S02.401AMaxillary fracture, unspecified side, initial encounter for closed fracture
- S02.401BMaxillary fracture, unspecified side, initial encounter for open fracture
- S02.401DMaxillary fracture, unspecified side, subsequent encounter for fracture with routine healing
- S02.401GMaxillary fracture, unspecified side, subsequent encounter for fracture with delayed healing
- S02.401KMaxillary fracture, unspecified side, subsequent encounter for fracture with nonunion
- S02.401SMaxillary fracture, unspecified side, sequela
How long has S02.401 existed?
S02.401 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2018Maxillary fracture, unspecifiedMaxillary fracture, unspecified side
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to S02.401?
What other codes are in the S02.40 family? (8)
- S02.400Malar fracture, unspecified sidenot billable
- S02.402Zygomatic fracture, unspecified sidenot billable
- S02.40AMalar fracture, right sidenot billable
- S02.40BMalar fracture, left sidenot billable
- S02.40CMaxillary fracture, right sidenot billable
- S02.40DMaxillary fracture, left sidenot billable
- S02.40EZygomatic fracture, right sidenot billable
- S02.40FZygomatic fracture, left sidenot billable