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S02.8 vs S05.60XS

S02.8 (Fractures of other specified skull and facial bones) compared with S05.60XS (Penetrating wound without foreign body of unspecified eyeball, sequela), 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. S05.60XS carries an Excludes2 note covering S02.8: “orbital bone fracture (S02.1-, S02.3-, S02.8-)”

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

Side by side

S02.8Fractures of other specified skull and facial bonesS05.60XSPenetrating wound without foreign body of unspecified eyeball, sequela
Billing statusNon-billable header

Report instead: S02.80XA, S02.80XB, S02.80XD, S02.80XG, S02.80XK

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)
DefinitionFractures of other specified skull and facial bones is a non-billable ICD-10-CM category code (S02.8).Penetrating wound without foreign body of unspecified eyeball, sequela is a billable ICD-10-CM diagnosis code (S05.60S).
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 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