S02.31XK
S02.31XK — Fracture of orbital floor, right side, subsequent encounter for fracture with nonunion
Billable / specific codeICD-10-CMPOA exemptright
S02.31XK is a billable, specific ICD-10-CM code for fracture of orbital floor, right side, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
7th character "K" — subsequent encounter for fracture with nonunion
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
Risk adjustment
S02.31XK 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.
Medicare coverage
S02.31XK is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share S02.31. If S02.31XK is not quite right, the correct code is usually one of these.
- S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture
- S02.31XBFracture of orbital floor, right side, initial encounter for open fracture
- S02.31XDFracture of orbital floor, right side, subsequent encounter for fracture with routine healing
- S02.31XGFracture of orbital floor, right side, subsequent encounter for fracture with delayed healing
- S02.31XSFracture of orbital floor, right side, sequela
Questions about S02.31XK
- Is S02.31XK a billable ICD-10-CM code?
- Yes. S02.31XK is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.31XK 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).