S02.19XS ICD-10-CM Code: Other fracture of base of skull, sequela
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)
- MS-DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)
- MS-DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S02.19XS in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Inclusion Terms
Alternative terms the tabular list files under this code.
- Fracture of anterior fossa of base of skull
- Fracture of ethmoid sinus
- Fracture of frontal sinus
- Fracture of middle fossa of base of skull
- Fracture of posterior fossa of base of skull
- Fracture of sphenoid
- Fracture of temporal bone
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- lateral orbital wall (S02.84-) Compare S02.19XS vs S02.84 →
- medial orbital wall (S02.83-) Compare S02.19XS vs S02.83 →
- orbital floor (S02.3-) Compare S02.19XS vs S02.3 →
- burns and corrosions (T20-T32) Compare S02.19XS vs T20 →
- effects of foreign body in ear (T16) Compare S02.19XS vs T16 →
- effects of foreign body in larynx (T17.3) Compare S02.19XS vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S02.19XS vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S02.19XS vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S02.19XS vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S02.19XS vs T15 →
- frostbite (T33-T34) Compare S02.19XS vs T33 →
- insect bite or sting, venomous (T63.4) Compare S02.19XS vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated intracranial injury (S06.-)
- for any associated infection
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S02.19XS in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S00-S09 — Injuries to the head [Hierarchy]
Referenced by Excludes1 notes
- S01 — Open wound of head [Excludes1](via S02.-): “open skull fracture (S02.- with 7th character B)” · check together
Referenced by Excludes2 notes
- S02.3 — Fracture of orbital floor [Excludes2](via S02.1.-): “orbital roof (S02.1-)” · check together
- S05 — Injury of eye and orbit [Excludes2](via S02.1.-): “orbital bone fracture (S02.1-, S02.3-, S02.8-)” · check together
Referenced by Code First instructions
- R40.2 — Coma [Code First](via S02.-): “fracture of skull (S02.-)” · check together
Referenced by Use Additional Code instructions
- S07 — Crushing injury of head [Use Additional Code](via S02.-): “skull fractures (S02.-)” · check together
Referenced by Code Also instructions
- S04 — Injury of cranial nerve [Code Also](via S02.-): “skull fracture (S02.-)” · check together
- S06 — Intracranial injury [Code Also](via S02.-): “skull fracture (S02.-)” · check together
Clinical classification (CCSR)
- INJ073 — Injury, sequela [CCSR]
Potential MS-DRG
- DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)”
- DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)”
- DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)”
MDC crossing · procedures (8892)
- MDC 01 — Diseases and Disorders of the Nervous System [MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- and 8887 more
Nearest codes (40)
- S02 — Fracture of skull and facial bones [Sibling]
- S02.122 — Fracture of orbital roof, left side [Sibling]
- S02.122A — Fracture of orbital roof, left side, initial encounter for closed fracture [Sibling]
- S02.122B — Fracture of orbital roof, left side, initial encounter for open fracture [Sibling]
- S02.122D — Fracture of orbital roof, left side, subsequent encounter for fracture with routine healing [Sibling]
- S02.122G — Fracture of orbital roof, left side, subsequent encounter for fracture with delayed healing [Sibling]
- S02.122K — Fracture of orbital roof, left side, subsequent encounter for fracture with nonunion [Sibling]
- S02.122S — Fracture of orbital roof, left side, sequela [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ073 — Injury, sequela (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 3 MS-DRGs: DRG 091 (MDC 01), DRG 092 (MDC 01), DRG 093 (MDC 01).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name S02.19XS or its code family.
1 Excludes1 notes: S01 (via S02.-).
2 Excludes2 notes: S02.3 (via S02.1.-), S05 (via S02.1.-).
1 Code First instructions: R40.2 (via S02.-).
1 Use Additional Code instructions: S07 (via S02.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S02.19XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S02.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S02.19XS in its code family, with their registry titles.
- S02.19XA — Other fracture of base of skull, initial encounter for closed fracture
- S02.19XB — Other fracture of base of skull, initial encounter for open fracture
- S02.19XD — Other fracture of base of skull, subsequent encounter for fracture with routine healing
- S02.19XG — Other fracture of base of skull, subsequent encounter for fracture with delayed healing
- S02.19XK — Other fracture of base of skull, subsequent encounter for fracture with nonunion
- S02.2 — Fracture of nasal bones
- S02.2XXA — Fracture of nasal bones, initial encounter for closed fracture
- S02.2XXB — Fracture of nasal bones, initial encounter for open fracture
- S02.2XXD — Fracture of nasal bones, subsequent encounter for fracture with routine healing
- S02.2XXG — Fracture of nasal bones, subsequent encounter for fracture with delayed healing