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S02.12 vs S02.85XS

S02.12 (Fracture of orbital roof) compared with S02.85XS (Fracture of orbit, unspecified, sequela), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. S02.85XS carries an Excludes1 note covering S02.12: “orbital roof (S02.12-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Yes, when both are documented. S02.85XS carries an Excludes2 note covering S02.12: “fracture of orbital roof (S02.12-)”

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

Side by side

S02.12Fracture of orbital roofS02.85XSFracture of orbit, unspecified, sequela
Billing statusNon-billable header

Report instead: S02.121A, S02.121B, S02.121D, S02.121G, S02.121K

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 orbital roof is a non-billable ICD-10-CM category code (S02.12).Fracture of orbit, unspecified, sequela is a billable ICD-10-CM diagnosis code (S02.85S).
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