Version 2024

2024 ICD-10-CM Diagnosis Code S02

Fracture of skull and facial bones

ICD-10-CM Code:
S02
ICD-10 Code for:
Fracture of skull and facial bones
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the head
      (S00-S09)
      • Fracture of skull and facial bones
        (S02)

S02 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of skull and facial bones. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Fracture of skull and facial bones

Non-specific codes like S02 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for fracture of skull and facial bones:

  • S02.0 for Fracture of vault of skull - NON-BILLABLE CODE

  • S02.1 for Fracture of base of skull - NON-BILLABLE CODE

  • S02.10 for Unspecified fracture of base of skull - NON-BILLABLE CODE

  • S02.11 for Fracture of occiput - NON-BILLABLE CODE

  • S02.12 for Fracture of orbital roof - NON-BILLABLE CODE

  • S02.19 for Other fracture of base of skull - NON-BILLABLE CODE

  • S02.2 for Fracture of nasal bones - NON-BILLABLE CODE

  • S02.3 for Fracture of orbital floor - NON-BILLABLE CODE

  • S02.30 for Fracture of orbital floor, unspecified side - NON-BILLABLE CODE

  • S02.31 for Fracture of orbital floor, right side - NON-BILLABLE CODE

  • S02.32 for Fracture of orbital floor, left side - NON-BILLABLE CODE

  • S02.4 for Fracture of malar, maxillary and zygoma bones - NON-BILLABLE CODE

  • S02.40 for Fracture of malar, maxillary and zygoma bones, unspecified - NON-BILLABLE CODE

  • S02.41 for LeFort fracture - NON-BILLABLE CODE

  • S02.42 for Fracture of alveolus of maxilla - NON-BILLABLE CODE

  • S02.5 for Fracture of tooth (traumatic) - NON-BILLABLE CODE

  • S02.6 for Fracture of mandible - NON-BILLABLE CODE

  • S02.60 for Fracture of mandible, unspecified - NON-BILLABLE CODE

  • S02.61 for Fracture of condylar process of mandible - NON-BILLABLE CODE

  • S02.62 for Fracture of subcondylar process of mandible - NON-BILLABLE CODE

  • S02.63 for Fracture of coronoid process of mandible - NON-BILLABLE CODE

  • S02.64 for Fracture of ramus of mandible - NON-BILLABLE CODE

  • S02.65 for Fracture of angle of mandible - NON-BILLABLE CODE

  • S02.66 for Fracture of symphysis of mandible - NON-BILLABLE CODE

  • S02.67 for Fracture of alveolus of mandible - NON-BILLABLE CODE

  • S02.69 for Fracture of mandible of other specified site - NON-BILLABLE CODE

  • S02.8 for Fractures of other specified skull and facial bones - NON-BILLABLE CODE

  • S02.80 for Fracture of other specified skull and facial bones, unspecified side - NON-BILLABLE CODE

  • S02.81 for Fracture of other specified skull and facial bones, right side - NON-BILLABLE CODE

  • S02.82 for Fracture of other specified skull and facial bones, left side - NON-BILLABLE CODE

  • S02.83 for Fracture of medial orbital wall - NON-BILLABLE CODE

  • S02.84 for Fracture of lateral orbital wall - NON-BILLABLE CODE

  • S02.85 for Fracture of orbit, unspecified - NON-BILLABLE CODE

  • S02.9 for Fracture of unspecified skull and facial bones - NON-BILLABLE CODE

  • S02.91 for Unspecified fracture of skull - NON-BILLABLE CODE

  • S02.92 for Unspecified fracture of facial bones - NON-BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • any associated intracranial injury S06

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from category S02

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter for closed fracture
  • B - initial encounter for open fracture
  • D - subsequent encounter for fracture with routine healing
  • G - subsequent encounter for fracture with delayed healing
  • K - subsequent encounter for fracture with nonunion
  • S - sequela

  • A fracture not indicated as open or closed should be coded to closed

Patient Education


Facial Injuries and Disorders

Face injuries and disorders can cause pain and affect how you look. In severe cases, they can affect sight, speech, breathing and your ability to swallow. Fractures (broken bones), especially in the bones of your nose, cheekbone and jaw, are common facial injuries.

Certain diseases also lead to facial disorders. For example, nerve diseases like trigeminal neuralgia or Bell's palsy sometimes cause facial pain, spasms and trouble with eye or facial movement. Birth defects can also affect the face. They can cause underdeveloped or unusually prominent facial features or a lack of facial expression. Cleft lip and palate are a common facial birth defect.


[Learn More in MedlinePlus]

Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Head Injuries

Chances are you've bumped your head before. Often, the injury is minor because your skull is hard and it protects your brain. But other head injuries can be more severe, such as a skull fracture, concussion, or traumatic brain injury.

Head injuries can be open or closed. A closed injury does not break through the skull. With an open, or penetrating, injury, an object pierces the skull and enters the brain. Closed injuries are not always less severe than open injuries.

Some common causes of head injuries are falls, motor vehicle accidents, violence, and sports injuries.

It is important to know the warning signs of a moderate or severe head injury. Get help immediately if the injured person has:

  • A headache that gets worse or does not go away
  • Repeated vomiting or nausea
  • Convulsions or seizures
  • An inability to wake up
  • Dilated (enlarged) pupil in one or both eyes
  • Slurred speech
  • Weakness or numbness in the arms or legs
  • Loss of coordination
  • Increased confusion, restlessness, or agitation

Doctors use a neurologic exam and imaging tests to make a diagnosis. Treatment depends on the type of injury and how severe it is.

NIH: National Institute of Neurological Disorders and Stroke


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.