Dislocation and sprain of joints and ligaments of head
In Injuries to the head (S00-S09), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
36 billable codes under S03: none are a CC or MCC; none map to an HCC.
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Instructional notes
Includes: conditions that are coded here
- avulsion of joint (capsule) or ligament of head
- laceration of cartilage, joint (capsule) or ligament of head
- sprain of cartilage, joint (capsule) or ligament of head
- traumatic hemarthrosis of joint or ligament of head
- traumatic rupture of joint or ligament of head
- traumatic subluxation of joint or ligament of head
- traumatic tear of joint or ligament of head
Excludes2: not included here, code separately if applicable
- Strain of muscle or tendon of head (S09.1)
Code also: add a code for this too, order depends on the encounter
- any associated open wound
Also applies, from Injuries to the head (S00-S09)
These notes sit on S00-S09 and apply to every code under it, including S03.
Includes: conditions that are coded here
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Excludes2: not included here, code separately if applicable
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Code also: add a code for this too, order depends on the encounter
- for any associated infection
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under S03
S03 can't be used on a claim. Pick a billable code below; grey headings group them.
- S03.0Dislocation of jaw
- S03.00Dislocation of jaw, unspecified side
- S03.00XADislocation of jaw, unspecified side, initial encounter
- S03.00XDDislocation of jaw, unspecified side, subsequent encounter
- S03.00XSDislocation of jaw, unspecified side, sequela
- S03.01Dislocation of jaw, right side
- S03.01XADislocation of jaw, right side, initial encounter
- S03.01XDDislocation of jaw, right side, subsequent encounter
- S03.01XSDislocation of jaw, right side, sequela
- S03.02Dislocation of jaw, left side
- S03.02XADislocation of jaw, left side, initial encounter
- S03.02XDDislocation of jaw, left side, subsequent encounter
- S03.02XSDislocation of jaw, left side, sequela
- S03.03Dislocation of jaw, bilateral
- S03.03XADislocation of jaw, bilateral, initial encounter
- S03.03XDDislocation of jaw, bilateral, subsequent encounter
- S03.03XSDislocation of jaw, bilateral, sequela
- S03.1Dislocation of septal cartilage of nose
- S03.1XXADislocation of septal cartilage of nose, initial encounter
- S03.1XXDDislocation of septal cartilage of nose, subsequent encounter
- S03.1XXSDislocation of septal cartilage of nose, sequela
- S03.2Dislocation of tooth
- S03.2XXADislocation of tooth, initial encounter
- S03.2XXDDislocation of tooth, subsequent encounter
- S03.2XXSDislocation of tooth, sequela
- S03.4Sprain of jaw
- S03.40Sprain of jaw, unspecified side
- S03.40XASprain of jaw, unspecified side, initial encounter
- S03.40XDSprain of jaw, unspecified side, subsequent encounter
- S03.40XSSprain of jaw, unspecified side, sequela
- S03.41Sprain of jaw, right side
- S03.41XASprain of jaw, right side, initial encounter
- S03.41XDSprain of jaw, right side, subsequent encounter
- S03.41XSSprain of jaw, right side, sequela
- S03.42Sprain of jaw, left side
- S03.42XASprain of jaw, left side, initial encounter
- S03.42XDSprain of jaw, left side, subsequent encounter
- S03.42XSSprain of jaw, left side, sequela
- S03.43Sprain of jaw, bilateral
- S03.43XASprain of jaw, bilateral, initial encounter
- S03.43XDSprain of jaw, bilateral, subsequent encounter
- S03.43XSSprain of jaw, bilateral, sequela
- S03.8Sprain of joints and ligaments of other parts of head
- S03.8XXASprain of joints and ligaments of other parts of head, initial encounter
- S03.8XXDSprain of joints and ligaments of other parts of head, subsequent encounter
- S03.8XXSSprain of joints and ligaments of other parts of head, sequela
- S03.9Sprain of joints and ligaments of unspecified parts of head
- S03.9XXASprain of joints and ligaments of unspecified parts of head, initial encounter
- S03.9XXDSprain of joints and ligaments of unspecified parts of head, subsequent encounter
- S03.9XXSSprain of joints and ligaments of unspecified parts of head, sequela
S03 MS-DRGs
As the principal diagnosis, the billable codes under S03 group to these 15 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 562 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (13 of 36 codes)
- DRG 563 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC (13 of 36 codes)
- DRG 949 Aftercare with CC/MCC (12 of 36 codes)
- DRG 950 Aftercare without CC/MCC (12 of 36 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (11 of 36 codes)
- DRG 964 Other Multiple Significant Trauma with CC (11 of 36 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (11 of 36 codes)
- DRG 157 Dental and Oral Diseases with MCC (8 of 36 codes)
- DRG 158 Dental and Oral Diseases with CC (8 of 36 codes)
- DRG 159 Dental and Oral Diseases without CC/MCC (8 of 36 codes)
- DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (1 of 36 codes)
- DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (1 of 36 codes)
- DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (1 of 36 codes)
- DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (1 of 36 codes)
- DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (1 of 36 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Dislocations
Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.
Read more about dislocations on MedlinePlusHead Injuries
Chances are you've bumped your head before. Often, the injury is minor because your skull is hard and it protects your brain. But other head injuries can be more severe, such as a skull fracture, concussion, or traumatic brain injury.
Read more about head injuries on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
