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ICD-10-CM 2027 diagnosis code

S02.11GDOther fracture of occiput, right side, subsequent encounter for fracture with routine healing

✓ Billable / specificPOA exemptRequires 7th character

S02.11GD is a valid, billable ICD-10-CM code for other fracture of occiput, right side, subsequent encounter for fracture with routine healing. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Other fracture of occiput, right side, 7thD

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S02.11GD

S02.11GD is the ICD-10-CM diagnosis code for other fracture of occiput, right side, subsequent encounter for fracture with routine healing. It belongs to category S02 (fracture of skull and facial bones), block S00-S09 (injuries to the head) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter for fracture with routine healing: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC, relative weight 1.8088), DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC, relative weight 1.1238) and DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC, relative weight 0.8258), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2017, effective October 1, 2016.

Before ICD-10, this condition was coded in ICD-9-CM as V54.19 (aftercare for healing traumatic fracture of other bone).

7th character

Dsubsequent encounter for fracture with routine healing

CC/MCC status for this injury by encounter: CC for A, K; MCC for B; Neither CC nor MCC for D, G, S.

Other encounter types for S02.11G:

Notes that apply from higher levels

Instructions written at a parent level also apply to S02.11GD.

› From S02.1 Fracture of base of skull
Excludes2
› From S02 Fracture of skull and facial bones
Note
  • A fracture not indicated as open or closed should be coded to closed
Code also
  • any associated intracranial injury (S06.-)

Broader instructions also apply from S00-S09 Injuries to the head and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • V54.19Aftercare for healing traumatic fracture of other boneapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about S02.11GD

Is S02.11GD billable?

Yes. S02.11GD is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of S02.11GD mean?

It is the 7th character for subsequent encounter for fracture with routine healing. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can S02.11GD be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S02.11GD as a principal diagnosis.

Is S02.11GD a CC or MCC?

No. S02.11GD is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S02.11GD group to?

S02.11GD is used in the MS-DRG v44.0 logic for MS-DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC), MS-DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC) and MS-DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S02.11GD?

The CMS General Equivalence Mappings map S02.11GD to ICD-9-CM V54.19.