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ICD-10/S03.01XA

S03.01XA ICD-10-CM Code: Dislocation of jaw, right side, initial encounter

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 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)
  • MS-DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)
  • MS-DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)
  • MS-DRG 157 — DENTAL AND ORAL DISEASES WITH MCC (MDC 03)
  • MS-DRG 158 — DENTAL AND ORAL DISEASES WITH CC (MDC 03)
  • MS-DRG 159 — DENTAL AND ORAL DISEASES WITHOUT CC/MCC (MDC 03)
  • MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
  • MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
  • MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)

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

Dislocation of jaw, right side, initial encounter is a billable ICD-10-CM diagnosis code (S03.01A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S03.01XA in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • avulsion of joint (capsule) or ligament of head
  • laceration of cartilage, joint (capsule) or ligament of head
  • sprain of cartilage, joint (capsule) or ligament of head
  • traumatic hemarthrosis of joint or ligament of head
  • traumatic rupture of joint or ligament of head
  • traumatic subluxation of joint or ligament of head
  • traumatic tear of joint or ligament of head
  • 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 open wound
  • for any associated infection

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Dislocation of jaw, right side, initial encounter
    FY2017 changes

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 S03.01XA 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]

Clinical classification (CCSR)

  • INJ007 — Dislocations, initial encounter [CCSR]
  • DEN001 — Any dental condition including traumatic injury [CCSR]

Potential MS-DRG (9)

  • DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)”
  • DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)”
  • DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)”
  • DRG 157 — DENTAL AND ORAL DISEASES WITH MCC [MS-DRG]: “DENTAL AND ORAL DISEASES WITH MCC (MDC 03)”
  • DRG 158 — DENTAL AND ORAL DISEASES WITH CC [MS-DRG]: “DENTAL AND ORAL DISEASES WITH CC (MDC 03)”
  • DRG 159 — DENTAL AND ORAL DISEASES WITHOUT CC/MCC [MS-DRG]: “DENTAL AND ORAL DISEASES WITHOUT CC/MCC (MDC 03)”
  • DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”
  • DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”
  • and 1 more

MDC crossing · procedures (28257)

  • Pre-MDC[MDC crossing]: “Pre-MDC — 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.”
  • MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat [MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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.”
  • 02HA0QZ — Insertion of Implantable Heart Assist System into Heart, Open Approach [Same-MDC procedure]: “Insertion of Implantable Heart Assist System into Heart, Open Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
  • 02HA0RZ — Insertion of Short-term External Heart Assist System into Heart, Open Approach [Same-MDC procedure]: “Insertion of Short-term External Heart Assist System into Heart, Open Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
  • 02HA3QZ — Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach [Same-MDC procedure]: “Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
  • 02HA4QZ — Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
  • 02RA0LZ — Replacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach [Same-MDC procedure]: “Replacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach — grouped in MDC PRE, the procedure side of this code's crossing.” · check together
  • and 28252 more

Nearest codes (40)

  • S03 — Dislocation and sprain of joints and ligaments of head [Sibling]
  • S03.0 — Dislocation of jaw [Sibling]
  • S03.00 — Dislocation of jaw, unspecified side [Sibling]
  • S03.00XA — Dislocation of jaw, unspecified side, initial encounter [Sibling]
  • S03.00XD — Dislocation of jaw, unspecified side, subsequent encounter [Sibling]
  • S03.00XS — Dislocation of jaw, unspecified side, sequela [Sibling]
  • S03.01 — Dislocation of jaw, right side [Sibling]
  • S03.01XD — Dislocation of jaw, right side, subsequent encounter [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Relationships & Classification

Clinical classification (AHRQ CCSR):INJ007 — Dislocations, initial encounter (default); DEN001 — Any dental condition including traumatic injury.

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 9 MS-DRGs: DRG 011 (MDC PRE), DRG 012 (MDC PRE), DRG 013 (MDC PRE), DRG 157 (MDC 03), DRG 158 (MDC 03), DRG 159 (MDC 03), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S03.01XA require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S03.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S03.01XA in its code family, with their registry titles.

  • S03.00 — Dislocation of jaw, unspecified side
  • S03.00XA — Dislocation of jaw, unspecified side, initial encounter
  • S03.00XD — Dislocation of jaw, unspecified side, subsequent encounter
  • S03.00XS — Dislocation of jaw, unspecified side, sequela
  • S03.01 — Dislocation of jaw, right side
  • S03.01XD — Dislocation of jaw, right side, subsequent encounter
  • S03.01XS — Dislocation of jaw, right side, sequela
  • S03.02 — Dislocation of jaw, left side
  • S03.02XA — Dislocation of jaw, left side, initial encounter
  • S03.02XD — Dislocation of jaw, left side, subsequent encounter

View all codes in the S03 family