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S02.411S

LeFort I fracture, sequela

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 11 never code together
S00-S09block
Excludes2
  • burns and corrosions (T20-T32)T20-T32
  • effects of foreign body in ear (T16)T16
  • effects of foreign body in larynx (T17.3)T17.3
  • effects of foreign body in mouth NOS (T18.0)T18.0
  • effects of foreign body in nose (T17.0-T17.1)T17.0-T17.1
  • effects of foreign body in pharynx (T17.2)T17.2
  • effects of foreign body on external eye (T15.-)T15.-
  • frostbite (T33-T34)T33-T34
  • insect bite or sting, venomous (T63.4)T63.4
S00-T88chapter
Excludes2

Excludes2 — not included here, but the patient may have both. Code both when documented.

7th character 6
A initial encounter for closed fracture
B initial encounter for open fracture
D subsequent encounter for fracture with routine healing
G subsequent encounter for fracture with delayed healing
K subsequent encounter for fracture with nonunion
S sequela this code
Instructional notes 21
S02code
Notes
  • A fracture not indicated as open or closed should be coded to closed
Code also
  • any associated intracranial injury (S06.-)S06.-
S02.4code
Inclusion terms
  • Fracture of superior maxilla
  • Fracture of upper jaw (bone)
  • Fracture of zygomatic process of temporal bone
S00-S09block
Includes
  • 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
Code also
  • for any associated infection
S00-T88chapter
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use additional code
  • code to identify any retained foreign body, if applicable (Z18.-)Z18.-
Index entries leading here 1 filed at S02.411

The index files this at S02.411. The tabular extends it — laterality, staging, or the 7th character — so these entries lead to the family rather than to S02.411S exactly.

  • Fracture, traumatic (abduction) (adduction) (separation) T14.8
    • maxilla, maxillary (bone) (sinus) (superior) (upper jaw) S02.401
Alongside this code 5 same parent — S02.411
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC167 ESRD21HCC167 ESRD24HCC167

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This code

Billable
yes
Code set
FY2026
Parent
S02.411
Block
S00-S09
Siblings
5

Present FY2024–FY2027.