S02.842G
S02.842G: Fracture of lateral orbital wall, left side, subsequent encounter for fracture with delayed healing
Billable / specific codeICD-10-CMPOA exemptleft
S02.842G is a billable, specific ICD-10-CM code for fracture of lateral orbital wall, left side, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.
Check S02.842G with the rest of the claim: free scrubber7th 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 S02.842G
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S02.842G
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
S02.842G is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56612Billing and Coding: CT of the Head
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S02.842
- S02.842AFracture of lateral orbital wall, left side, initial encounter for closed fracture
- S02.842BFracture of lateral orbital wall, left side, initial encounter for open fracture
- S02.842DFracture of lateral orbital wall, left side, subsequent encounter for fracture with routine healing
- S02.842KFracture of lateral orbital wall, left side, subsequent encounter for fracture with nonunion
- S02.842SFracture of lateral orbital wall, left side, sequela