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ICD-10/S02.129S

S02.129S ICD-10-CM Code: Fracture of orbital roof, unspecified side, sequela

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)
  • MS-DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Fracture of orbital roof, unspecified side, sequela is a billable ICD-10-CM diagnosis code (S02.129S).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.129S 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, unspecified side, sequela
    FY2020 changes

Verify Before Coding

  • Billable — reportable as written.

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 S02.129S 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

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S00-S09 — Injuries to the head [Hierarchy]

Referenced by Excludes1 notes

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

Referenced by Excludes2 notes

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

Referenced by Code First instructions

Referenced by Use Additional Code instructions

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

Referenced by Code Also instructions

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

Clinical classification (CCSR)

  • INJ073 — Injury, sequela [CCSR]

Potential MS-DRG

  • DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)”
  • DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)”

MDC crossing · procedures (32029)

  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • and 32024 more

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [Sibling]
  • S02.121 — Fracture of orbital roof, right side [Sibling]
  • S02.121A — Fracture of orbital roof, right side, initial encounter for closed fracture [Sibling]
  • S02.121B — Fracture of orbital roof, right side, initial encounter for open fracture [Sibling]
  • S02.121D — Fracture of orbital roof, right side, subsequent encounter for fracture with routine healing [Sibling]
  • S02.121G — Fracture of orbital roof, right side, subsequent encounter for fracture with delayed healing [Sibling]
  • S02.121K — Fracture of orbital roof, right side, subsequent encounter for fracture with nonunion [Sibling]
  • S02.121S — Fracture of orbital roof, right side, sequela [Sibling]
  • and 32 more

Change history

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

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ073 — Injury, sequela (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 922 (MDC 21), DRG 923 (MDC 21).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name S02.129S 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

Does S02.129S 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 S02.129S in its code family, with their registry titles.

  • S02.129A — Fracture of orbital roof, unspecified side, initial encounter for closed fracture
  • S02.129B — Fracture of orbital roof, unspecified side, initial encounter for open fracture
  • S02.129D — Fracture of orbital roof, unspecified side, subsequent encounter for fracture with routine healing
  • S02.129G — Fracture of orbital roof, unspecified side, subsequent encounter for fracture with delayed healing
  • S02.129K — Fracture of orbital roof, unspecified side, subsequent encounter for fracture with nonunion
  • S02.19 — Other fracture of base of skull
  • S02.19XA — Other fracture of base of skull, initial encounter for closed fracture
  • S02.19XB — Other fracture of base of skull, initial encounter for open fracture
  • S02.19XD — Other fracture of base of skull, subsequent encounter for fracture with routine healing
  • S02.19XG — Other fracture of base of skull, subsequent encounter for fracture with delayed healing

View all codes in the S02 family