S02.3 — Fracture of orbital floor
Is S02.3 billable?
No — S02.3 is a non-billable header code. S02.3 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 S02.3.
Billable codes under this header
- S02.30XAFracture of orbital floor, unspecified side, initial encounter for closed fracture
- S02.30XBFracture of orbital floor, unspecified side, initial encounter for open fracture
- S02.30XDFracture of orbital floor, unspecified side, subsequent encounter for fracture with routine healing
- S02.30XGFracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing
- S02.30XKFracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion
- S02.30XSFracture of orbital floor, unspecified side, sequela
- S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture
- S02.31XBFracture of orbital floor, right side, initial encounter for open fracture
- S02.31XDFracture of orbital floor, right side, subsequent encounter for fracture with routine healing
- S02.31XGFracture of orbital floor, right side, subsequent encounter for fracture with delayed healing
- S02.31XKFracture of orbital floor, right side, subsequent encounter for fracture with nonunion
- S02.31XSFracture of orbital floor, right side, sequela
- S02.32XAFracture of orbital floor, left side, initial encounter for closed fracture
- S02.32XBFracture of orbital floor, left side, initial encounter for open fracture
- S02.32XDFracture of orbital floor, left side, subsequent encounter for fracture with routine healing
- S02.32XGFracture of orbital floor, left side, subsequent encounter for fracture with delayed healing
- S02.32XKFracture of orbital floor, left side, subsequent encounter for fracture with nonunion
- S02.32XSFracture of orbital floor, left side, sequela
S02.3 at a glance
| Code | S02.3 |
|---|---|
| Description | Fracture of orbital floor |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S02.3 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S02.3. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › blow-out (abduction) (adduction) (separation)
- Fracture, traumatic › orbit, orbital › floor (abduction) (adduction) (separation)
Excludes1 — never code together
The conditions below can never be reported together with S02.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- orbit NOS (S02.85)
Excludes2 — not included here
The conditions below are not part of S02.3, but a patient may have both at the same time. When documentation supports it, S02.3 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to S02.3.
- Fracture of inferior orbital wall
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.3 to fully describe the condition. S02.3 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 S02.3, but a patient may have both at the same time. When documentation supports it, S02.3 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.3, but a patient may have both at the same time. When documentation supports it, S02.3 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)
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S02.3 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 S02.3 is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
What codes fall under S02.3? (3)
How long has S02.3 existed?
S02.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to S02.3?
What other codes are in the S02 family? (8)
- S02.0Fracture of vault of skullnot billable
- S02.1Fracture of base of skullnot billable
- S02.2Fracture of nasal bonesnot billable
- S02.4Fracture of malar, maxillary and zygoma bonesnot billable
- S02.5Fracture of tooth (traumatic)not billable
- S02.6Fracture of mandiblenot billable
- S02.8Fractures of other specified skull and facial bonesnot billable
- S02.9Fracture of unspecified skull and facial bonesnot billable