Coding and coverage · ICD-10-CM
S02.85 Fracture of orbit, unspecified
This code needs a 7th character (use X as a placeholder for missing characters).
Codes under this one
- S02.85XA Fracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XB Fracture of orbit, unspecified, initial encounter for open fracture
- S02.85XD Fracture of orbit, unspecified, subsequent encounter for fracture with routine healing
- S02.85XG Fracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
- S02.85XK Fracture of orbit, unspecified, subsequent encounter for fracture with nonunion
- S02.85XS Fracture of orbit, unspecified, sequela
Instructional notes
Chapter 19
Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Section S00-S09
Excludes2Not included here: the patient may have both; report both when both are present.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Code also
- for any associated infection
Includes
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
S02
Code also
- any associated intracranial injury (S06.-)
Notes
- A fracture not indicated as open or closed should be coded to closed
7th charactersThe 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
S02.8
Excludes2Not included here: the patient may have both; report both when both are present.
Inclusion terms
- Fracture of palate
Chapter 19: Injury, poisoning and certain other consequences of external causes · S00-S09 Injuries to the head (S00-S09)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.