ICDcodes.org
FY2027

S02.85XG — Fracture of orbit, unspecified, subsequent encounter for fracture with delayed healing

BillableUnspecified

Is S02.85XG billable?

Yes, but S02.85XG is an unspecified code. S02.85XG is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S02.85XG is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S02.85XG — the more specific alternatives are listed below.

S02.85XG at a glance

CodeS02.85XG
DescriptionFracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "G"subsequent encounter for fracture with delayed healing

What does the 7th character "G" mean in S02.85XG?

In S02.85XG, the 7th character G means subsequent encounter for fracture with delayed healing. The 7th character is required for S02.85XG to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S02.85XG group to?

S02.85XG sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 949Aftercare with CC/MCCmedical
  • 950Aftercare without CC/MCCmedical

How is S02.85XG listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S02.85, the nearest indexed parent of S02.85XG. Use them to find the family, then select the specific code.

  • 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 S02.85XG 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 S02.85XG.

  • Fracture of orbit NOS
  • Fracture of orbit wall NOS

Excludes1 — never code together — inherited from S02.85

The conditions below can never be reported together with S02.85XG on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Use additional code — inherited from Chapter 19

Report an additional code alongside S02.85XG to fully describe the condition. S02.85XG 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 S02.85XG, but a patient may have both at the same time. When documentation supports it, S02.85XG and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S00-S09

The conditions below are not part of S02.85XG, but a patient may have both at the same time. When documentation supports it, S02.85XG 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 S02.85XG, but a patient may have both at the same time. When documentation supports it, S02.85XG and the excluded code may both be reported.

  • fracture of orbital floor (S02.3-)
  • fracture of orbital roof (S02.12-)

Code also — inherited from S00-S09

Two codes may be needed to describe the condition fully. Whether S02.85XG 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 S02.85XG is sequenced first depends on the reason for the encounter.

  • any associated intracranial injury (S06.-)

How long has S02.85XG existed?

S02.85XG 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.