S02.69XB — Fracture of mandible of other specified site, initial encounter for open fracture

BillableUnspecifiedCC

Is S02.69XB billable?

Yes, but S02.69XB is an unspecified code. S02.69XB is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S02.69XB 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 S02.69XB — the more specific alternatives are listed below.

More specific alternatives

S02.69XB at a glance

Code	S02.69XB
Description	Fracture of mandible of other specified site, initial encounter for open fracture
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027
7th character "B"	initial encounter for open fracture

What does the 7th character "B" mean in S02.69XB?

In S02.69XB, the 7th character B means initial encounter for open fracture. The 7th character is required for S02.69XB to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S02.69XB group to?

S02.69XB sits in MDC Pre 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.

011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical

As a secondary diagnosis, S02.69XB is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 05.

How is S02.69XB listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S02.69, the nearest indexed parent of S02.69XB. Use them to find the family, then select the specific code.

Fracture, traumatic › mandible › specified site NEC (abduction) (adduction) (separation)

Use additional code — inherited from Chapter 19

Report an additional code alongside S02.69XB to fully describe the condition. S02.69XB 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 S02.69XB, but a patient may have both at the same time. When documentation supports it, S02.69XB and the excluded code may both be reported.

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S00-S09

The conditions below are not part of S02.69XB, but a patient may have both at the same time. When documentation supports it, S02.69XB 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 S02.69XB 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 S02.69XB is sequenced first depends on the reason for the encounter.

any associated intracranial injury (S06.-)

How long has S02.69XB existed?

S02.69XB 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.