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S02.401G vs S02.40DG

S02.401G (Maxillary fracture, unspecified side, subsequent encounter for fracture with delayed healing) compared with S02.40DG (Maxillary fracture, left side, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S02.401G and S02.40DG code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S02.401G
Unspecified
Maxillary fracture, unspecified side, subsequent encounter for fracture with delayed healing
S02.40DG
Left
Maxillary fracture, left side, subsequent encounter for fracture with delayed healing

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S02.401G and S02.40DG name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S02.401GMaxillary fracture, unspecified side, subsequent encounter for fracture with delayed healingS02.40DGMaxillary fracture, left side, subsequent encounter for fracture with delayed healing
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionMaxillary fracture, unspecified side, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S02.401G).Maxillary fracture, left side, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S02.40DG).
7th characterThe appropriate 7th character is to be added to each code from category S02The appropriate 7th character is to be added to each code from category S02
Includes
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources