S02.12 — Fracture of orbital roof
Is S02.12 billable?
No — S02.12 is a non-billable header code. S02.12 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 18 billable codes beneath S02.12.
Billable codes under this header
- S02.121AFracture of orbital roof, right side, initial encounter for closed fracture
- S02.121BFracture of orbital roof, right side, initial encounter for open fracture
- S02.121DFracture of orbital roof, right side, subsequent encounter for fracture with routine healing
- S02.121GFracture of orbital roof, right side, subsequent encounter for fracture with delayed healing
- S02.121KFracture of orbital roof, right side, subsequent encounter for fracture with nonunion
- S02.121SFracture of orbital roof, right side, sequela
- S02.122AFracture of orbital roof, left side, initial encounter for closed fracture
- S02.122BFracture of orbital roof, left side, initial encounter for open fracture
- S02.122DFracture of orbital roof, left side, subsequent encounter for fracture with routine healing
- S02.122GFracture of orbital roof, left side, subsequent encounter for fracture with delayed healing
- S02.122KFracture of orbital roof, left side, subsequent encounter for fracture with nonunion
- S02.122SFracture of orbital roof, left side, sequela
- S02.129AFracture of orbital roof, unspecified side, initial encounter for closed fracture
- S02.129BFracture of orbital roof, unspecified side, initial encounter for open fracture
- S02.129DFracture of orbital roof, unspecified side, subsequent encounter for fracture with routine healing
- S02.129GFracture of orbital roof, unspecified side, subsequent encounter for fracture with delayed healing
- S02.129KFracture of orbital roof, unspecified side, subsequent encounter for fracture with nonunion
- S02.129SFracture of orbital roof, unspecified side, sequela
S02.12 at a glance
| Code | S02.12 |
|---|---|
| Description | Fracture of orbital roof |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S02.12 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S02.12. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › orbit, orbital › roof (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.12 to fully describe the condition. S02.12 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S02.12, but a patient may have both at the same time. When documentation supports it, S02.12 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.12, but a patient may have both at the same time. When documentation supports it, S02.12 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from S02.1
The conditions below are not part of S02.12, but a patient may have both at the same time. When documentation supports it, S02.12 and the excluded code may both be reported.
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S02.12 is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S02
Two codes may be needed to describe the condition fully. Whether S02.12 is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
What codes fall under S02.12? (3)
How long has S02.12 existed?
S02.12 first appears in FY2021 (FY2020 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.