Is S02.849 a billable ICD-10-CM code?

No. S02.849 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S02.849 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).

S02.849

S02.849 — Fracture of lateral orbital wall, unspecified side

Non-billable headerICD-10-CMunspecified

S02.849 is a non-billable header ICD-10-CM code for fracture of lateral orbital wall, 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

Excludes2 inherited from the categories above S02.849

Also inherited, and the opposite of Excludes1: these conditions are not part of S02.849, but a patient can have both, so you may code both.

Written on S02.84 — Fracture of lateral orbital wall

orbital floor (S02.3-)
orbital roof (S02.12-)

Written on S02.8 — Fractures of other specified skull and facial bones

fracture of orbital floor (S02.3-)
fracture of orbital roof (S02.12-)

Other codes that can never be billed with S02.849

These codes carry an Excludes1 note pointing at S02.849. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S02.849 alone.

S01Open wound of head

Risk adjustment

S02.849 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

S02.849 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 S02.849

6 child codes. Green means billable.

Related codes at this level

Codes that share S02.84. If S02.849 is not quite right, the correct code is usually one of these.

Questions about S02.849

Is S02.849 a billable ICD-10-CM code?: No. S02.849 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S02.849 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).