S02.30XS

S02.30XS: Fracture of orbital floor, unspecified side, sequela

Billable / specific codeICD-10-CMPOA exemptunspecified

S02.30XS is a billable, specific ICD-10-CM code for fracture of orbital floor, unspecified side, sequela. It is valid for submission on a claim.

Check S02.30XS with the rest of the claim: free scrubber

7th character "S": sequela

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 S02.30XS

A category’s note binds every code beneath it.

Written on S02.3: Fracture of orbital floor

orbit NOS (S02.85)

Excludes2 inherited from the categories above S02.30XS

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

Written on S02.3: Fracture of orbital floor

lateral orbital wall (S02.84-)
medial orbital wall (S02.83-)
orbital roof (S02.1-)

Other codes that can never be billed with S02.30XS

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

S02.30XS is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck

Code history

Unchanged in every release from FY2024 to FY2027.