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S02.631 ICD-10-CM Code: Fracture of coronoid process of right mandible

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the head (S00-S09)

S02.631

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Fracture of coronoid process of right mandible

Fracture of coronoid process of right mandible

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S02.6Fracture of mandible
S02.63Fracture of coronoid process of mandible
S02.631Fracture of coronoid process of right mandible

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S02.631 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S02.631 in this effective period.

Related Child Codes

Official
S02.631AFracture of coronoid process of right mandible, initial encounter for closed fracture
S02.631BFracture of coronoid process of right mandible, initial encounter for open fracture
S02.631DFracture of coronoid process of right mandible, subsequent encounter for fracture with routine healing
S02.631GFracture of coronoid process of right mandible, subsequent encounter for fracture with delayed healing
S02.631KFracture of coronoid process of right mandible, subsequent encounter for fracture with nonunion

Includes

Official

ICD-10-CM does not list Includes notes for S02.631 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S02.631 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S02.631 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S02.631 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S02.631 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S02.631 is the ICD-10-CM diagnosis code for fracture of coronoid process of right mandible. S02.631 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the head (s00-s09).

Header codes like S02.631 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S02.631's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S02.631 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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