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S02.1 vs S02.32XG

S02.1 (Fracture of base of skull) compared with S02.32XG (Fracture of orbital floor, left side, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S02.1 carries an Excludes2 note covering S02.32XG: “orbital floor (S02.3-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. S02.32XG carries an Excludes2 note covering S02.1: “orbital roof (S02.1-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S02.1Fracture of base of skullS02.32XGFracture of orbital floor, left side, subsequent encounter for fracture with delayed healing
Billing statusNon-billable header

Report instead: S02.101A, S02.101B, S02.101D, S02.101G, S02.101K

Billable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionFracture of base of skull is a non-billable ICD-10-CM category code (S02.1).Fracture of orbital floor, left side, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S02.32G).
7th characterThe appropriate 7th character is to be added to each code from category S02The appropriate 7th character is to be added to each code from category S02
Includes
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources