S04.30 ICD-10-CM Code: Injury of trigeminal nerve, unspecified side
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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)
S04.30
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceInjury of trigeminal nerve, unspecified side
Injury of trigeminal nerve, unspecified side
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Injury of 5th cranial nerve
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for S04.30 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for S04.30 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for S04.30 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for S04.30 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for S04.30 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for S04.30 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.
Coder workflow notes
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What This Code Means
S04.30 is the ICD-10-CM diagnosis code for injury of trigeminal nerve, unspecified side. S04.30 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 S04.30 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 S04.30'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 S04.30 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.