Version 2024

2024 ICD-10-CM Diagnosis Code S03.4

Sprain of jaw

ICD-10-CM Code:
S03.4
ICD-10 Code for:
Sprain of jaw
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)
      • Dislocation and sprain of joints and ligaments of head
        (S03)

S03.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of sprain of jaw. 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 Sprain of jaw

Non-specific codes like S03.4 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 sprain of jaw:

  • S03.40 for Sprain of jaw, unspecified side - NON-BILLABLE CODE

  • Use S03.40XA for initial encounter - BILLABLE CODE

  • Use S03.40XD for subsequent encounter - BILLABLE CODE

  • Use S03.40XS for sequela - BILLABLE CODE

  • S03.41 for Sprain of jaw, right side - NON-BILLABLE CODE

  • Use S03.41XA for initial encounter - BILLABLE CODE

  • Use S03.41XD for subsequent encounter - BILLABLE CODE

  • Use S03.41XS for sequela - BILLABLE CODE

  • S03.42 for Sprain of jaw, left side - NON-BILLABLE CODE

  • Use S03.42XA for initial encounter - BILLABLE CODE

  • Use S03.42XD for subsequent encounter - BILLABLE CODE

  • Use S03.42XS for sequela - BILLABLE CODE

  • S03.43 for Sprain of jaw, bilateral - NON-BILLABLE CODE

  • Use S03.43XA for initial encounter - BILLABLE CODE

  • Use S03.43XD for subsequent encounter - BILLABLE CODE

  • Use S03.43XS for sequela - BILLABLE CODE

Coding Guidelines

The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments of head (S03). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

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.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Sprain of temporomandibular (joint) (ligament)

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


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

Treatment of jaw problems depends on the cause.


[Learn More in MedlinePlus]

Sprains and Strains

A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.

A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.

At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[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.