S02.849G — Fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with delayed healing
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.
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
Risk adjustment
S02.849G 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
S02.849G 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.
- A56612Billing and Coding: CT of the Head
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Related codes at this level
Codes that share S02.849. If S02.849G is not quite right, the correct code is usually one of these.
- S02.849AFracture of lateral orbital wall, unspecified side, initial encounter for closed fracture
- S02.849BFracture of lateral orbital wall, unspecified side, initial encounter for open fracture
- S02.849DFracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with routine healing
- S02.849KFracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with nonunion
- S02.849SFracture of lateral orbital wall, unspecified side, sequela
Questions about S02.849G
- Is S02.849G a billable ICD-10-CM code?
- Yes. S02.849G is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.849G 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).