S02.3 vs S05.62XD
S02.3 (Fracture of orbital floor) compared with S05.62XD (Penetrating wound without foreign body of left eyeball, subsequent encounter), 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. S05.62XD carries an Excludes2 note covering S02.3: “orbital bone fracture (S02.1-, S02.3-, S02.8-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S02.3Fracture of orbital floor | S05.62XDPenetrating wound without foreign body of left eyeball, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header Report instead: S02.30XA, S02.30XB, S02.30XD, S02.30XG, S02.30XK | Billable |
| Classification | S00-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) |
| Definition | Fracture of orbital floor is a non-billable ICD-10-CM category code (S02.3). | Penetrating wound without foreign body of left eyeball, subsequent encounter is a billable ICD-10-CM diagnosis code (S05.62D). |
| 7th character | The appropriate 7th character is to be added to each code from category S02 | The appropriate 7th character is to be added to each code from category S05 |
| Includes | injuries of ear injuries of eye injuries of face [any part] injuries of gum | open wound of eye and orbit injuries of ear injuries of eye injuries of face [any part] |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources