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Code
Description

ICD-10-CM Code S03.4
Sprain of jaw

NON-BILLABLE
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
7th Character Required
7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
| ICD-10 from 2011 - 2016

ICD Code S03.4 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'sprain of jaw' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:


7th Digit Billable Code 7th Digit Specifies
A S03.4XXA initial encounter
D S03.4XXD subsequent encounter
S S03.4XXS sequela

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info

Coding Notes for S03.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Sprain of temporomandibular (joint) (ligament)

Coding Advice SNOMET-CT

  • Possible requirement for an external cause code

ICD-10-CM Alphabetical Index References for 'S03.4 - Sprain of jaw'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S03.4. Click on any term below to browse the alphabetical index.


Parent Code: S03 - Dislocation and sprain of joints and ligaments of head

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S034