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ICD-10/S02.122

S02.122 ICD-10-CM Code: Fracture of orbital roof, left side

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Fracture of orbital roof, left side is a non-billable ICD-10-CM category code (S02.122). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.122 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of ear
  • injuries of eye
  • injuries of face [any part]
  • injuries of gum
  • injuries of jaw
  • injuries of oral cavity
  • injuries of palate
  • injuries of periocular area
  • injuries of scalp
  • injuries of temporomandibular joint area
  • injuries of tongue
  • injuries of tooth

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated intracranial injury (S06.-)
  • for any associated infection

Change history

  • FY2020 — 2019-10-01
    Added to the code set
    Fracture of orbital roof, left side
    FY2020 changes

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of S02.122 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S02.12 — Fracture of orbital roof [Hierarchy]

Referenced by Excludes1 notes

  • S01 — Open wound of head [Excludes1](via S02.-): “open skull fracture (S02.- with 7th character B)”
  • S02.85 — Fracture of orbit, unspecified [Excludes1](via S02.12.-): “orbital roof (S02.12-)”

Referenced by Excludes2 notes

  • S02.3 — Fracture of orbital floor [Excludes2](via S02.1.-): “orbital roof (S02.1-)”
  • S02.8 — Fractures of other specified skull and facial bones [Excludes2](via S02.12.-): “fracture of orbital roof (S02.12-)”
  • S02.83 — Fracture of medial orbital wall [Excludes2](via S02.12.-): “orbital roof (S02.12-)”
  • S02.84 — Fracture of lateral orbital wall [Excludes2](via S02.12.-): “orbital roof (S02.12-)”
  • S05 — Injury of eye and orbit [Excludes2](via S02.1.-): “orbital bone fracture (S02.1-, S02.3-, S02.8-)”

Referenced by Code First instructions

  • R40.2 — Coma [Code First](via S02.-): “fracture of skull (S02.-)”

Referenced by Use Additional Code instructions

  • S07 — Crushing injury of head [Use Additional Code](via S02.-): “skull fractures (S02.-)”

Referenced by Code Also instructions

  • S04 — Injury of cranial nerve [Code Also](via S02.-): “skull fracture (S02.-)”
  • S06 — Intracranial injury [Code Also](via S02.-): “skull fracture (S02.-)”

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [Sibling]
  • S02.11GB — Other fracture of occiput, right side, initial encounter for open fracture [Sibling]
  • S02.11GD — Other fracture of occiput, right side, subsequent encounter for fracture with routine healing [Sibling]
  • S02.11GG — Other fracture of occiput, right side, subsequent encounter for fracture with delayed healing [Sibling]
  • S02.11GK — Other fracture of occiput, right side, subsequent encounter for fracture with nonunion [Sibling]
  • S02.11GS — Other fracture of occiput, right side, sequela [Sibling]
  • S02.11H — Other fracture of occiput, left side [Sibling]
  • S02.11HA — Other fracture of occiput, left side, initial encounter for closed fracture [Sibling]
  • and 32 more

Change history

  • FY2020 — Added to the code set [Change history]

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name S02.122 or its code family.

2 Excludes1 notes: S01 (via S02.-), S02.85 (via S02.12.-).

5 Excludes2 notes: S02.3 (via S02.1.-), S02.8 (via S02.12.-), S02.83 (via S02.12.-), S02.84 (via S02.12.-), S05 (via S02.1.-).

1 Code First instructions: R40.2 (via S02.-).

1 Use Additional Code instructions: S07 (via S02.-).

2 Code Also instructions: S04 (via S02.-), S06 (via S02.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S02.122 be billed directly?

No. S02.122 (Fracture of orbital roof, left side) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S02.122 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S02.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S02.122 in its code family, with their registry titles.

  • S02.121B — Fracture of orbital roof, right side, initial encounter for open fracture
  • S02.121D — Fracture of orbital roof, right side, subsequent encounter for fracture with routine healing
  • S02.121G — Fracture of orbital roof, right side, subsequent encounter for fracture with delayed healing
  • S02.121K — Fracture of orbital roof, right side, subsequent encounter for fracture with nonunion
  • S02.121S — Fracture of orbital roof, right side, sequela
  • S02.122A — Fracture of orbital roof, left side, initial encounter for closed fracture
  • S02.122B — Fracture of orbital roof, left side, initial encounter for open fracture
  • S02.122D — Fracture of orbital roof, left side, subsequent encounter for fracture with routine healing
  • S02.122G — Fracture of orbital roof, left side, subsequent encounter for fracture with delayed healing
  • S02.122K — Fracture of orbital roof, left side, subsequent encounter for fracture with nonunion

View all codes in the S02 family