S02.85 — Fracture of orbit, unspecified
Is S02.85 billable?
No — S02.85 is a non-billable header code. S02.85 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 6 billable codes beneath S02.85.
Billable codes under this header
- S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XBFracture of orbit, unspecified, initial encounter for open fracture
- S02.85XDFracture of orbit, unspecified, subsequent encounter for fracture with routine healing
- S02.85XGFracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
- S02.85XKFracture of orbit, unspecified, subsequent encounter for fracture with nonunion
- S02.85XSFracture of orbit, unspecified, sequela
S02.85 at a glance
| Code | S02.85 |
|---|---|
| Description | Fracture of orbit, unspecified |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S02.85 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S02.85. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › orbit, orbital (abduction) (adduction) (separation)
- Fracture, traumatic › orbit, orbital › wall (abduction) (adduction) (separation)
Excludes1 — never code together
The conditions below can never be reported together with S02.85 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to S02.85.
- Fracture of orbit NOS
- Fracture of orbit wall NOS
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.85 to fully describe the condition. S02.85 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 S02.85, but a patient may have both at the same time. When documentation supports it, S02.85 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.85, but a patient may have both at the same time. When documentation supports it, S02.85 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 S02.8
The conditions below are not part of S02.85, but a patient may have both at the same time. When documentation supports it, S02.85 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 S02.85 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 S02.85 is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
What codes fall under S02.85? (6)
- S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XBFracture of orbit, unspecified, initial encounter for open fracture
- S02.85XDFracture of orbit, unspecified, subsequent encounter for fracture with routine healing
- S02.85XGFracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
- S02.85XKFracture of orbit, unspecified, subsequent encounter for fracture with nonunion
- S02.85XSFracture of orbit, unspecified, sequela
How long has S02.85 existed?
S02.85 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.
Which conditions are coded to S02.85?
What other codes are in the S02.8 family? (5)
- S02.80Fracture of other specified skull and facial bones, unspecified sidenot billable
- S02.81Fracture of other specified skull and facial bones, right sidenot billable
- S02.82Fracture of other specified skull and facial bones, left sidenot billable
- S02.83Fracture of medial orbital wallnot billable
- S02.84Fracture of lateral orbital wallnot billable