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S02.400 ICD-10-CM Code: Malar fracture, unspecified side

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Malar fracture, unspecified side is a non-billable ICD-10-CM category code (S02.400). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.400 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

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated intracranial injury (S06.-)
  • for any associated infection

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Fracture, traumatic (abduction) (adduction) (separation), malar bone

Frequently Compared Codes

The official Excludes notes on S02.400 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Description revised
    Malar fracture unspecified → Malar fracture, unspecified side
    FY2017 changes
  • FY2017 — 2016-10-01
    Short description revised
    Malar fracture unspecified → Malar fracture, unspecified side
    FY2017 changes

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name S02.400 or its code family.

1 Excludes1 notes: S01 (via S02.-).

1 Code First instructions: R40.2 (via S02.-).

1 Use Additional Code instructions: S07 (via S02.-).

2 Code Also instructions: S04 (via S02.-), S06 (via S02.-).

Contextual Map

Every relationship of S02.400 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 Code First instructions

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

Index entries

  • Fracture, traumatic (abduction) (adduction) (separation), malar bone[Index term]

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [Sibling]
  • S02.30XD — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with routine healing [Sibling]
  • S02.30XG — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing [Sibling]
  • S02.30XK — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion [Sibling]
  • S02.30XS — Fracture of orbital floor, unspecified side, sequela [Sibling]
  • S02.31 — Fracture of orbital floor, right side [Sibling]
  • S02.31XA — Fracture of orbital floor, right side, initial encounter for closed fracture [Sibling]
  • S02.31XB — Fracture of orbital floor, right side, initial encounter for open fracture [Sibling]
  • and 32 more

Change history (2)

  • FY2017 — Description revised [Change history]
  • and 1 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S02.400 be billed directly?

No. S02.400 (Malar fracture, unspecified side) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S02.400 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 S02.400 in its code family, with their registry titles.

  • S02.32XG — Fracture of orbital floor, left side, subsequent encounter for fracture with delayed healing
  • S02.32XK — Fracture of orbital floor, left side, subsequent encounter for fracture with nonunion
  • S02.32XS — Fracture of orbital floor, left side, sequela
  • S02.4 — Fracture of malar, maxillary and zygoma bones
  • S02.40 — Fracture of malar, maxillary and zygoma bones, unspecified
  • S02.400A — Malar fracture, unspecified side, initial encounter for closed fracture
  • S02.400B — Malar fracture, unspecified side, initial encounter for open fracture
  • S02.400D — Malar fracture, unspecified side, subsequent encounter for fracture with routine healing
  • S02.400G — Malar fracture, unspecified side, subsequent encounter for fracture with delayed healing
  • S02.400K — Malar fracture, unspecified side, subsequent encounter for fracture with nonunion

View all codes in the S02 family