S02.85XD: Fracture of orbit, unspecified, subsequent encounter for fracture with routine healing
S02.85XD is a billable, specific ICD-10-CM code for fracture of orbit, unspecified, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S02.85XD with the rest of the claim: free scrubber7th character "D": subsequent encounter for fracture with routine 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
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fracture of orbit NOS
- Fracture of orbit wall NOS
Excludes1 inherited from the categories above S02.85XD
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S02.85XD
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S02.85XD
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
S02.85XD 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.
Other codes under S02.85
- S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XBFracture of orbit, unspecified, initial encounter for open fracture
- S02.85XGFracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
- S02.85XKFracture of orbit, unspecified, subsequent encounter for fracture with nonunion
- S02.85XSFracture of orbit, unspecified, sequela