ICDcodes.org
FY2027

S03.43XD — Sprain of jaw, bilateral, subsequent encounter

Billable

Is S03.43XD billable?

Yes — S03.43XD is billable for FY2027. S03.43XD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S03.43XD may be submitted for encounters from October 1, 2026 through September 30, 2027.

S03.43XD at a glance

CodeS03.43XD
DescriptionSprain of jaw, bilateral, subsequent encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "D"subsequent encounter

What does the 7th character "D" mean in S03.43XD?

In S03.43XD, the 7th character D means subsequent encounter. The 7th character is required for S03.43XD to be a valid, complete code.

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

Which MS-DRGs does S03.43XD group to?

S03.43XD sits in MDC 23 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.

  • 949Aftercare with CC/MCCmedical
  • 950Aftercare without CC/MCCmedical

How is S03.43XD listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S03.4, the nearest indexed parent of S03.43XD. 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 S03.43XD to fully describe the condition. S03.43XD 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 S03.43XD, but a patient may have both at the same time. When documentation supports it, S03.43XD 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 S03.43XD, but a patient may have both at the same time. When documentation supports it, S03.43XD 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 S03.43XD, but a patient may have both at the same time. When documentation supports it, S03.43XD 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 S03.43XD 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 S03.43XD is sequenced first depends on the reason for the encounter.

  • any associated open wound

How long has S03.43XD existed?

S03.43XD 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.