S03.40XS — Sprain of jaw, unspecified side, sequela
Is S03.40XS billable?
Yes, but S03.40XS is an unspecified code. S03.40XS is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S03.40XS 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 S03.40XS — the more specific alternatives are listed below.
S03.40XS at a glance
| Code | S03.40XS |
|---|---|
| Description | Sprain of jaw, unspecified side, 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 S03.40XS?
In S03.40XS, the 7th character S means sequela. The 7th character is required for S03.40XS to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S03.40XS group to?
S03.40XS sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCCmedical
- 563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCCmedical
How is S03.40XS listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S03.4, the nearest indexed parent of S03.40XS. Use them to find the family, then select the specific code.
- Sprain › jaw (joint) (ligament)
- Sprain › mandible (joint) (ligament)
- Sprain › temporomandibular (joint) (ligament)
- Sprain › meniscus › jaw (joint) (ligament)
- Sprain › meniscus › mandible (joint) (ligament)
- Sprain › symphysis › jaw (joint) (ligament)
- Sprain › symphysis › mandibular (joint) (ligament)
Use additional code — inherited from Chapter 19
Report an additional code alongside S03.40XS to fully describe the condition. S03.40XS 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 S03.40XS, but a patient may have both at the same time. When documentation supports it, S03.40XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S03.40XS, but a patient may have both at the same time. When documentation supports it, S03.40XS 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)
Excludes2 — not included here — inherited from S03
The conditions below are not part of S03.40XS, but a patient may have both at the same time. When documentation supports it, S03.40XS and the excluded code may both be reported.
- Strain of muscle or tendon of head (S09.1)
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S03.40XS is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S03
Two codes may be needed to describe the condition fully. Whether S03.40XS is sequenced first depends on the reason for the encounter.
- any associated open wound
How long has S03.40XS existed?
S03.40XS first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.