Skip to main content

S02.69XA vs S02.69XB

S02.69XA (Fracture of mandible of other specified site, initial encounter for closed fracture) compared with S02.69XB (Fracture of mandible of other specified site, initial encounter for open fracture), from the official CMS tabular data. S02.69XA and S02.69XB code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S02.69XA
Initial encounter
Fracture of mandible of other specified site, initial encounter for closed fracture
↔
S02.69XB
Initial encounter
Fracture of mandible of other specified site, initial encounter for open fracture

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S02.69XA and S02.69XB code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S02.69XAFracture of mandible of other specified site, initial encounter for closed fractureS02.69XBFracture of mandible of other specified site, initial encounter for open fracture
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)
DefinitionFracture of mandible of other specified site, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S02.69A).Fracture of mandible of other specified site, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S02.69B).
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
Edit this comparisonCheck a whole claim

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