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S02.30XS ICD-10-CM Code: Fracture of orbital floor, 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 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)
  • MS-DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)
  • MS-DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)

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, sequela is a billable ICD-10-CM diagnosis code (S02.30S).

Official Tabular Instructional Notes

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

Frequently Compared Codes

The official Excludes notes on S02.30XS name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Fracture of orbital floor, unspecified side, sequela
    FY2017 changes

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

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

Relationships & Classification

Other codes that name S02.30XS or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

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.-).

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 091 (MDC 01), DRG 092 (MDC 01), DRG 093 (MDC 01).

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

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.

Related Codes

Same clinical process (MS-DRG)

CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

S02.11DS — Type II occipital condyle fracture, left side, sequela, S02.11ES — Type III occipital condyle fracture, right side, sequela, S02.11FS — Type III occipital condyle fracture, left side, sequela, S02.11GS — Other fracture of occiput, right side, sequela, S02.11HS — Other fracture of occiput, left side, sequela, S02.121S — Fracture of orbital roof, right side, sequela, S02.122S — Fracture of orbital roof, left side, sequela, S02.129S — Fracture of orbital roof, unspecified side, sequela, S02.19XS — Other fracture of base of skull, sequela, S02.2XXS — Fracture of nasal bones, sequela, S02.31XS — Fracture of orbital floor, right side, sequela, S02.32XS — Fracture of orbital floor, left side, sequela, S02.400S — Malar fracture, unspecified side, sequela, S02.401S — Maxillary fracture, unspecified side, sequela, S02.402S — Zygomatic fracture, unspecified side, sequela, S02.40AS — Malar fracture, right side, sequela, S02.40BS — Malar fracture, left side, sequela, S02.40CS — Maxillary fracture, right side, sequela, S02.40DS — Maxillary fracture, left side, sequela, S02.40ES — Zygomatic fracture, right side, sequela, +102 more

Same condition, opposite side

Same category and title, differing only in which side of the body is affected.

S02.31XS — Fracture of orbital floor, right side, sequela (right), S02.32XS — Fracture of orbital floor, left side, sequela (left)

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

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, S02.30XG — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing, S02.30XK — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Injury, sequela).

+7578 more

Contextual Map

Every relationship of S02.30XS 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 S02.3.-): “orbital floor (S02.3-)” · check together

Referenced by Excludes2 notes

  • S02.1 — Fracture of base of skull [Excludes2](via S02.3.-): “orbital floor (S02.3-)” · check together
  • S02.8 — Fractures of other specified skull and facial bones [Excludes2](via S02.3.-): “fracture of orbital floor (S02.3-)” · check together
  • S02.83 — Fracture of medial orbital wall [Excludes2](via S02.3.-): “orbital floor (S02.3-)” · check together
  • S02.84 — Fracture of lateral orbital wall [Excludes2](via S02.3.-): “orbital floor (S02.3-)” · check together
  • S05 — Injury of eye and orbit [Excludes2](via S02.3.-): “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 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)”
  • DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)”
  • DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)”

MDC crossing · procedures (8892)

  • MDC 01 — Diseases and Disorders of the Nervous System [MDC crossing]: “Diseases and Disorders of the Nervous System — 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 01, 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 01, 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 01, 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 01, 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 01, the procedure side of this code's crossing.” · check together
  • and 8887 more

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [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]
  • S02.19XS — Other fracture of base of skull, sequela [Sibling]
  • S02.2 — Fracture of nasal bones [Sibling]
  • and 32 more

Change history

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

Frequently Asked Questions (FAQ) & Clinical Guidance

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

  • 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
  • S02.30XG — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing
  • S02.30XK — Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion
  • 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
  • S02.31XD — Fracture of orbital floor, right side, subsequent encounter for fracture with routine healing
  • S02.31XG — Fracture of orbital floor, right side, subsequent encounter for fracture with delayed healing

View all codes in the S02 family