S02.30 — Fracture of orbital floor, unspecified side
S02.30 is a non-billable header ICD-10-CM code for fracture of orbital floor, unspecified side. 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 inherited from the categories above S02.30
These are not written on S02.30, but they bind it: a note on a category applies to every code beneath it. Billing S02.30 with anything listed here is a denial.
Excludes2 inherited from the categories above S02.30
Also inherited, and the opposite of Excludes1: these conditions are not part of S02.30, but a patient can have both, so you may code both.
Other codes that can never be billed with S02.30
These codes carry an Excludes1 note pointing at S02.30. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S02.30 alone.
- S01Open wound of head
Risk adjustment
S02.30 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code history
S02.30 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead S02.30
6 child codes. Green means billable.
- S02.30XAFracture of orbital floor, unspecified side, initial encounter for closed fracture
- S02.30XBFracture of orbital floor, unspecified side, initial encounter for open fracture
- S02.30XDFracture of orbital floor, unspecified side, subsequent encounter for fracture with routine healing
- S02.30XGFracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing
- S02.30XKFracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion
- S02.30XSFracture of orbital floor, unspecified side, sequela
Related codes at this level
Codes that share S02.3. If S02.30 is not quite right, the correct code is usually one of these.
Questions about S02.30
- Is S02.30 a billable ICD-10-CM code?
- No. S02.30 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.30 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).
- What cannot be coded together with S02.30?
- S02.30 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S02.30 (S02.3) and apply to it just the same.