S02.85XS — Fracture of orbit, unspecified, sequela
Is S02.85XS billable?
Yes, but S02.85XS is an unspecified code. S02.85XS is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S02.85XS 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 S02.85XS — the more specific alternatives are listed below.
More specific alternatives
- S02.0XXSFracture of vault of skull, sequela
- S02.19XSOther fracture of base of skull, sequela
- S02.2XXSFracture of nasal bones, sequela
- S02.30XSFracture of orbital floor, unspecified side, sequela
- S02.42XSFracture of alveolus of maxilla, sequela
- S02.5XXSFracture of tooth (traumatic), sequela
- S02.66XSFracture of symphysis of mandible, sequela
S02.85XS at a glance
| Code | S02.85XS |
|---|---|
| Description | Fracture of orbit, unspecified, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S02.85XS?
In S02.85XS, the 7th character S means sequela. The 7th character is required for S02.85XS to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S02.85XS group to?
S02.85XS sits in MDC 21 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.
- 922Other Injury, Poisoning and Toxic Effect Diagnoses with MCCmedical
- 923Other Injury, Poisoning and Toxic Effect Diagnoses without MCCmedical
How is S02.85XS listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S02.85, the nearest indexed parent of S02.85XS. 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 S02.85XS 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 S02.85XS.
- 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 S02.85XS 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 S02.85XS to fully describe the condition. S02.85XS 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 S02.85XS, but a patient may have both at the same time. When documentation supports it, S02.85XS and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.85XS, but a patient may have both at the same time. When documentation supports it, S02.85XS 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 S02.85XS, but a patient may have both at the same time. When documentation supports it, S02.85XS 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 S02.85XS 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 S02.85XS is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
How long has S02.85XS existed?
S02.85XS 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.