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ICD-10/S02.839A

S02.839A ICD-10-CM Code: Fracture of medial orbital wall, unspecified side, initial encounter for closed fracture

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 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)
  • MS-DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)
  • MS-DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)
  • MS-DRG 082 — TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC (MDC 01)
  • MS-DRG 083 — TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC (MDC 01)
  • MS-DRG 084 — TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC (MDC 01)
  • MS-DRG 085 — TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC (MDC 01)
  • MS-DRG 086 — TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC (MDC 01)
  • MS-DRG 087 — TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC (MDC 01)
  • MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
  • MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
  • MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)

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.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 399 — Major Head Injury without Loss of Consciousness

Other models: CMS-HCC V22 HCC 167

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Official Registry Overview & Definition

Fracture of medial orbital wall, unspecified side, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S02.839A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.839A 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 medial orbital wall, unspecified side, initial encounter for closed fracture
    FY2020 changes

Verify Before Coding

  • Billable — reportable as written.
  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

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

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ001 — Fracture of head and neck, initial 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)

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 413 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 12 MS-DRGs: DRG 011 (MDC PRE), DRG 012 (MDC PRE), DRG 013 (MDC PRE), DRG 082 (MDC 01), DRG 083 (MDC 01), DRG 084 (MDC 01), DRG 085 (MDC 01), DRG 086 (MDC 01), DRG 087 (MDC 01), DRG 963 (MDC 24) and 2 more.

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 S02.839A or its code family.

2 Excludes1 notes: S01 (via S02.-), S02.85 (via S02.83.-).

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

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 S02.839A 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 S02.839A in its code family, with their registry titles.

  • S02.832D — Fracture of medial orbital wall, left side, subsequent encounter for fracture with routine healing
  • S02.832G — Fracture of medial orbital wall, left side, subsequent encounter for fracture with delayed healing
  • S02.832K — Fracture of medial orbital wall, left side, subsequent encounter for fracture with nonunion
  • S02.832S — Fracture of medial orbital wall, left side, sequela
  • S02.839 — Fracture of medial orbital wall, unspecified side
  • S02.839B — Fracture of medial orbital wall, unspecified side, initial encounter for open fracture
  • S02.839D — Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with routine healing
  • S02.839G — Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with delayed healing
  • S02.839K — Fracture of medial orbital wall, unspecified side, subsequent encounter for fracture with nonunion
  • S02.839S — Fracture of medial orbital wall, unspecified side, sequela

View all codes in the S02 family