S02.84 vs S02.85XA
S02.84 (Fracture of lateral orbital wall) compared with S02.85XA (Fracture of orbit, unspecified, initial encounter for closed fracture), 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. S02.85XA carries an Excludes1 note covering S02.84: “lateral orbital wall (S02.84-)”
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
| S02.84Fracture of lateral orbital wall | S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture | |
|---|---|---|
| Billing status | Non-billable header Report instead: S02.841A, S02.841B, S02.841D, S02.841G, S02.841K | 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 lateral orbital wall is a non-billable ICD-10-CM category code (S02.84). | Fracture of orbit, unspecified, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S02.85A). |
| 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