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ICD-10/S02.30XG

S02.30XG ICD-10-CM Code: Fracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing

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 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
  • MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
  • MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)

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 floor, unspecified side, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S02.30G).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.30XG 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

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

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

  • FY2017 — 2016-10-01
    Added to the code set
    Fracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing
    FY2017 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 S02.30XG 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

  • S02.30 — Fracture of orbital floor, unspecified side [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 S02.3.-): “orbital floor (S02.3-)”

Referenced by Excludes2 notes

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

Clinical classification (CCSR)

  • INJ038 — Fracture of head and neck, subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
  • DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
  • DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [Sibling]
  • S02.129S — Fracture of orbital roof, unspecified side, sequela [Sibling]
  • S02.19 — Other fracture of base of skull [Sibling]
  • S02.19XA — Other fracture of base of skull, initial encounter for closed fracture [Sibling]
  • S02.19XB — Other fracture of base of skull, initial encounter for open fracture [Sibling]
  • S02.19XD — Other fracture of base of skull, subsequent encounter for fracture with routine healing [Sibling]
  • S02.19XG — Other fracture of base of skull, subsequent encounter for fracture with delayed healing [Sibling]
  • S02.19XK — Other fracture of base of skull, subsequent encounter for fracture with nonunion [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ038 — Fracture of head and neck, subsequent encounter (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 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).

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 S02.30XG or its code family.

2 Excludes1 notes: S01 (via S02.-), S02.85 (via S02.3.-).

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

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 S02.30XG 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 S02.30XG in its code family, with their registry titles.

  • S02.3 — Fracture of orbital floor
  • S02.30 — Fracture of orbital floor, unspecified side
  • S02.30XA — Fracture of orbital floor, unspecified side, initial encounter for closed fracture
  • S02.30XB — Fracture of orbital floor, unspecified side, initial encounter for open fracture
  • S02.30XD — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with routine healing
  • S02.30XK — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion
  • S02.30XS — Fracture of orbital floor, unspecified side, sequela
  • S02.31 — Fracture of orbital floor, right side
  • S02.31XA — Fracture of orbital floor, right side, initial encounter for closed fracture
  • S02.31XB — Fracture of orbital floor, right side, initial encounter for open fracture

View all codes in the S02 family