S02.3: Fracture of orbital floor
S02.3 is a non-billable header ICD-10-CM code for fracture of orbital floor. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- orbit NOS (S02.85)
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fracture of inferior orbital wall
Other codes that can never be billed with S02.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- S01Open wound of head
- S02.85Fracture of orbit, unspecified
- 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
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S02.3
3 child codes. Green means billable.
Other codes under S02
- S02.0Fracture of vault of skull
- S02.1Fracture of base of skull
- S02.2Fracture of nasal bones
- S02.4Fracture of malar, maxillary and zygoma bones
- S02.5Fracture of tooth (traumatic)
- S02.6Fracture of mandible
- S02.8Fractures of other specified skull and facial bones
- S02.9Fracture of unspecified skull and facial bones