Maxillary fracture, unspecified side, 7thB

Maxillary fracture, unspecified side, initial encounter for open fracture

📋Clinical Description

This code signifies a fracture of the upper jaw bone (maxilla) where the specific side (left or right) is not documented. It indicates that the fracture is an open type, meaning there is a break in the skin or mucous membrane communicating with the fracture site, and this is the initial treatment encounter for the injury.

🎯When to Use

Use this code for a patient presenting for the first time for treatment of an open maxillary fracture when the medical record does not specify whether the fracture is on the left or right side. Documentation should clearly state "open fracture" and "maxilla" without laterality.

💡Coding Tips

Ensure documentation explicitly states "open fracture" and "initial encounter."
If laterality (left or right) is specified, a more specific code should be used.
Do not confuse with closed maxillary fractures (S02.40XA) or subsequent encounters.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S02.401Maxillary fracture, unspecified side

S02.401B(current)

Crosswalks

802.5ApproxICD-9 802.5ApproxICD-9

Same Category

S02Fracture of skull and facial bones S02.0Fracture of vault of skull S02.0XXAFracture of vault of skull, init encntr for closed fracture S02.0XXBFracture of vault of skull, init encntr for open fracture