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Compare/S02.122K vs S02.84

S02.122K vs S02.84

S02.122K (Fracture of orbital roof, left side, subsequent encounter for fracture with nonunion) compared with S02.84 (Fracture of lateral orbital wall), 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. S02.122K carries an Excludes2 note covering S02.84: “lateral orbital wall (S02.84-)”

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

Yes, when both are documented. S02.84 carries an Excludes2 note covering S02.122K: “orbital roof (S02.12-)”

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

Yes, when both are documented. S02.84 carries an Excludes2 note covering S02.122K: “fracture of orbital roof (S02.12-)”

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

Side by side

S02.122KFracture of orbital roof, left side, subsequent encounter for fracture with nonunionS02.84Fracture of lateral orbital wall
Billing statusBillableNon-billable header

Report instead: S02.841A, S02.841B, S02.841D, S02.841G, S02.841K

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, left side, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S02.122K).Fracture of lateral orbital wall is a non-billable ICD-10-CM category code (S02.84).
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