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S02.411Non-billableSave

S02.411 - LeFort I fracture

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S00-S09 Injuries to the head (S00-S09) · Subcategory of S02.41 · FY2027

Coding Guidance

S02.411 requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter for closed fracture, B for initial encounter for open fracture, D for subsequent encounter for fracture with routine healing.

7th Character

The appropriate 7th character is to be added to each code from category S02

Includes, Excludes and Coding Notes

Code AlsoFrom S02

Report an additional code when both conditions apply.

  • any associated intracranial injury (S06.-)
NotesFrom S02

Instructional notes from the ICD-10-CM tabular list.

  • A fracture not indicated as open or closed should be coded to closed
IncludesFrom S00-S09 Injuries to the head (S00-S09)

Conditions this code covers.

  • 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
Excludes 2 — Not Included HereFrom S00-S09 Injuries to the head (S00-S09)

Not part of this code; report both codes when the patient has both conditions.

  • burns and corrosions (T20-T32)
  • effects of foreign body in ear (T16)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in mouth NOS (T18.0)
  • effects of foreign body in nose (T17.0-T17.1)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body on external eye (T15.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
Code AlsoFrom S00-S09 Injuries to the head (S00-S09)

Report an additional code when both conditions apply.

  • for any associated infection
Excludes 2 — Not Included HereFrom Chapter S00-T88

Not part of this code; report both codes when the patient has both conditions.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
Use Additional CodeFrom Chapter S00-T88

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify any retained foreign body, if applicable (Z18.-)
NotesFrom Chapter S00-T88

Instructional notes from the ICD-10-CM tabular list.

  • 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.

More Specific Codes (6)

S02.411ALeFort I fracture, initial encounter for closed fracture→S02.411BLeFort I fracture, initial encounter for open fracture→S02.411DLeFort I fracture, subsequent encounter for fracture with routine healing→S02.411GLeFort I fracture, subsequent encounter for fracture with delayed healing→S02.411KLeFort I fracture, subsequent encounter for fracture with nonunion→S02.411SLeFort I fracture, sequela→

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S02.411.