S02.612S — Fracture of condylar process of left mandible, sequela
S02.612S is a billable, specific ICD-10-CM code for fracture of condylar process of left mandible, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S02
- 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
Risk adjustment
S02.612S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S02.612S is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56612Billing and Coding: CT of the Head
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Code history
S02.612S has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S02.612. If S02.612S is not quite right, the correct code is usually one of these.
- S02.612AFracture of condylar process of left mandible, initial encounter for closed fracture
- S02.612BFracture of condylar process of left mandible, initial encounter for open fracture
- S02.612DFracture of condylar process of left mandible, subsequent encounter for fracture with routine healing
- S02.612GFracture of condylar process of left mandible, subsequent encounter for fracture with delayed healing
- S02.612KFracture of condylar process of left mandible, subsequent encounter for fracture with nonunion
Questions about S02.612S
- Is S02.612S a billable ICD-10-CM code?
- Yes. S02.612S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.612S sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).