ICD-10-CM Code S02.42XG

Fracture of alveolus of maxilla, subsequent encounter for fracture with delayed healing

Version 2020 Billable Code POA Exempt

Valid for Submission

S02.42XG is a billable code used to specify a medical diagnosis of fracture of alveolus of maxilla, subsequent encounter for fracture with delayed healing. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S02.42XG might also be used to specify conditions or terms like comminuted fracture of maxillary alveolar bone, fracture of malar or maxillary bones, open, fracture of maxillary alveolar bone, fracture of maxillary alveolar socket wall, open fracture of alveolar ridge of maxilla, open fracture of maxilla, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S02.42XG
Short Description:Fracture of alveolus of maxilla, subs for fx w delay heal
Long Description:Fracture of alveolus of maxilla, subsequent encounter for fracture with delayed healing

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Comminuted fracture of maxillary alveolar bone
  • Fracture of malar or maxillary bones, open
  • Fracture of maxillary alveolar bone
  • Fracture of maxillary alveolar socket wall
  • Open fracture of alveolar ridge of maxilla
  • Open fracture of maxilla
  • Partial fracture of maxillary alveolus
  • Total fracture of maxillary alveolus

Diagnostic Related Groups

The ICD-10 code S02.42XG is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
  • 560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
  • 561 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Present on Admission (POA)

S02.42XG is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S02.42XG to ICD-9

  • V54.19 - Aftrce traum fx bone NEC (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the head (S00-S09)
      • Fracture of skull and facial bones (S02)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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.


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Jaw Injuries and Disorders

Your jaw is a set of bones that holds your teeth. It consists of two main parts. The upper part is the maxilla. It doesn't move. The moveable lower part is called the mandible. You move it when you talk or chew. The two halves of the mandible meet at your chin. The joint where the mandible meets your skull is the temporomandibular joint.

Jaw problems include

  • Fractures
  • Dislocations
  • Temporomandibular joint dysfunction
  • Osteonecrosis, which happens when your bones lose their blood supply
  • Cancers

Treatment of jaw problems depends on the cause.


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