S02.609S — Fracture of mandible, unspecified, sequela
Is S02.609S billable?
Yes, but S02.609S is an unspecified code. S02.609S is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S02.609S is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S02.609S — the more specific alternatives are listed below.
More specific alternatives
- S02.610SFracture of condylar process of mandible, unspecified side, sequela
- S02.620SFracture of subcondylar process of mandible, unspecified side, sequela
- S02.630SFracture of coronoid process of mandible, unspecified side, sequela
- S02.640SFracture of ramus of mandible, unspecified side, sequela
- S02.650SFracture of angle of mandible, unspecified side, sequela
- S02.66XSFracture of symphysis of mandible, sequela
- S02.670SFracture of alveolus of mandible, unspecified side, sequela
S02.609S at a glance
| Code | S02.609S |
|---|---|
| Description | Fracture of mandible, unspecified, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S02.609S?
In S02.609S, the 7th character S means sequela. The 7th character is required for S02.609S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S02.609S group to?
S02.609S sits in MDC 01 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 091Other Disorders of Nervous System with MCCmedical
- 092Other Disorders of Nervous System with CCmedical
- 093Other Disorders of Nervous System without CC/MCCmedical
How is S02.609S listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S02.609, the nearest indexed parent of S02.609S. Use them to find the family, then select the specific code.
- Fracture, traumatic › mandible (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.609S to fully describe the condition. S02.609S 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 S02.609S, but a patient may have both at the same time. When documentation supports it, S02.609S and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.609S, but a patient may have both at the same time. When documentation supports it, S02.609S 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 S02.609S 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 S02.609S is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
How long has S02.609S existed?
S02.609S has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.