S02.849G

S02.849G: Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with delayed healing

Billable / specific codeICD-10-CMPOA exemptunspecified

S02.849G is a billable, specific ICD-10-CM code for fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.

Check S02.849G with the rest of the claim: free scrubber

7th 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 S02.849G

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

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 S02.849G

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

S02.849G 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.