S02.85XK — Fracture of orbit, unspecified, subsequent encounter for fracture with nonunion
Is S02.85XK billable?
Yes, but S02.85XK is an unspecified code. S02.85XK is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S02.85XK 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 S02.85XK — the more specific alternatives are listed below.
More specific alternatives
- S02.0XXKFracture of vault of skull, subsequent encounter for fracture with nonunion
- S02.19XKOther fracture of base of skull, subsequent encounter for fracture with nonunion
- S02.2XXKFracture of nasal bones, subsequent encounter for fracture with nonunion
- S02.30XKFracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion
- S02.42XKFracture of alveolus of maxilla, subsequent encounter for fracture with nonunion
- S02.5XXKFracture of tooth (traumatic), subsequent encounter for fracture with nonunion
- S02.66XKFracture of symphysis of mandible, subsequent encounter for fracture with nonunion
S02.85XK at a glance
| Code | S02.85XK |
|---|---|
| Description | Fracture of orbit, unspecified, subsequent encounter for fracture with nonunion |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "K" | subsequent encounter for fracture with nonunion |
What does the 7th character "K" mean in S02.85XK?
In S02.85XK, the 7th character K means subsequent encounter for fracture with nonunion. The 7th character is required for S02.85XK to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S02.85XK group to?
S02.85XK 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
As a secondary diagnosis, S02.85XK is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S02.85XK listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S02.85, the nearest indexed parent of S02.85XK. 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 S02.85XK 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 S02.85XK.
- 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 S02.85XK 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 S02.85XK to fully describe the condition. S02.85XK 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 S02.85XK, but a patient may have both at the same time. When documentation supports it, S02.85XK and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.85XK, but a patient may have both at the same time. When documentation supports it, S02.85XK 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 S02.85XK, but a patient may have both at the same time. When documentation supports it, S02.85XK 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 S02.85XK 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 S02.85XK is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
How long has S02.85XK existed?
S02.85XK 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.