S02.83 vs S02.85XD
S02.83 (Fracture of medial orbital wall) compared with S02.85XD (Fracture of orbit, unspecified, subsequent encounter for fracture with routine healing), 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. S02.85XD carries an Excludes1 note covering S02.83: “medial orbital wall (S02.83-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S02.83Fracture of medial orbital wall | S02.85XDFracture of orbit, unspecified, subsequent encounter for fracture with routine healing | |
|---|---|---|
| Billing status | Non-billable header Report instead: S02.831A, S02.831B, S02.831D, S02.831G, S02.831K | 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 medial orbital wall is a non-billable ICD-10-CM category code (S02.83). | Fracture of orbit, unspecified, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S02.85D). |
| 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 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