S02.129G

S02.129G: Fracture of orbital roof, unspecified side, subsequent encounter for fracture with delayed healing

Billable / specific codeICD-10-CMPOA exemptunspecified

S02.129G is a billable, specific ICD-10-CM code for fracture of orbital roof, unspecified side, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.

Check S02.129G with the rest of the claim: free scrubber

7th character "G": subsequent encounter for fracture with delayed healing

The appropriate 7th character is to be added to each code from category S02

A: initial encounter for closed fracture
B: initial encounter for open fracture
D: subsequent encounter for fracture with routine healing
G: subsequent encounter for fracture with delayed healing
K: subsequent encounter for fracture with nonunion
S: sequela

Excludes2 inherited from the categories above S02.129G

Not part of this code, but both may be coded when both are present.

Written on S02.1: Fracture of base of skull

lateral orbital wall (S02.84-)
medial orbital wall (S02.83-)
orbital floor (S02.3-)

Other codes that can never be billed with S02.129G

Their own Excludes1 notes name this code, so the conflict is not listed above.

S01Open wound of head

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S02.129G is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy

Code history

Unchanged in every release from FY2024 to FY2027.