S02.842G ICD-10-CM Code: Fracture of lateral orbital wall, left 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 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S02.842G 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.
- orbital floor (S02.3-) Compare S02.842G vs S02.3 →
- orbital roof (S02.12-) Compare S02.842G vs S02.12 →
- fracture of orbital floor (S02.3-) Compare S02.842G vs S02.3 →
- fracture of orbital roof (S02.12-) Compare S02.842G vs S02.12 →
- burns and corrosions (T20-T32) Compare S02.842G vs T20 →
- effects of foreign body in ear (T16) Compare S02.842G vs T16 →
- effects of foreign body in larynx (T17.3) Compare S02.842G vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S02.842G vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S02.842G vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S02.842G vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S02.842G vs T15 →
- frostbite (T33-T34) Compare S02.842G vs T33 →
- insect bite or sting, venomous (T63.4) Compare S02.842G vs T63.4 →
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 — 2019-10-01Added to the code setFracture of lateral orbital wall, left side, subsequent encounter for fracture with delayed healingFY2020 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.
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 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
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 S02.842G or its code family.
2 Excludes1 notes: S01 (via S02.-), S02.85 (via S02.84.-).
3 Excludes2 notes: S02.1 (via S02.84.-), S02.3 (via S02.84.-), S05 (via S02.8.-).
1 Code First instructions: R40.2 (via S02.-).
1 Use Additional Code instructions: S07 (via S02.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S02.842G 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 S02.842G in its code family, with their registry titles.
- S02.841S — Fracture of lateral orbital wall, right side, sequela
- S02.842 — Fracture of lateral orbital wall, left side
- S02.842A — Fracture of lateral orbital wall, left side, initial encounter for closed fracture
- S02.842B — Fracture of lateral orbital wall, left side, initial encounter for open fracture
- S02.842D — Fracture of lateral orbital wall, left side, subsequent encounter for fracture with routine healing
- S02.842K — Fracture of lateral orbital wall, left side, subsequent encounter for fracture with nonunion
- S02.842S — Fracture of lateral orbital wall, left side, sequela
- S02.849 — Fracture of lateral orbital wall, unspecified side
- S02.849A — Fracture of lateral orbital wall, unspecified side, initial encounter for closed fracture
- S02.849B — Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture