Skip to main content
ICD-10/S02.85XS

S02.85XS ICD-10-CM Code: Fracture of orbit, unspecified, 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 orbit, unspecified, sequela is a billable ICD-10-CM diagnosis code (S02.85S).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.85XS 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

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Fracture of orbit NOS
  • Fracture of orbit wall NOS

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

  • FY2020 — 2019-10-01
    Added to the code set
    Fracture of orbit, unspecified, 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 S02.85XS 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

  • S02.85 — Fracture of orbit, unspecified [Hierarchy]

Referenced by Excludes1 notes

  • S01 — Open wound of head [Excludes1](via S02.-): “open skull fracture (S02.- with 7th character B)”

Referenced by Excludes2 notes

  • S05 — Injury of eye and orbit [Excludes2](via S02.8.-): “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)

  • 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)”

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [Sibling]
  • S02.841B — Fracture of lateral orbital wall, right side, initial encounter for open fracture [Sibling]
  • S02.841D — Fracture of lateral orbital wall, right side, subsequent encounter for fracture with routine healing [Sibling]
  • S02.841G — Fracture of lateral orbital wall, right side, subsequent encounter for fracture with delayed healing [Sibling]
  • S02.841K — Fracture of lateral orbital wall, right side, subsequent encounter for fracture with nonunion [Sibling]
  • S02.841S — Fracture of lateral orbital wall, right side, sequela [Sibling]
  • S02.842 — Fracture of lateral orbital wall, left side [Sibling]
  • S02.842A — Fracture of lateral orbital wall, left side, initial encounter for closed fracture [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 S02.85XS or its code family.

1 Excludes1 notes: S01 (via S02.-).

1 Excludes2 notes: 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 S02.85XS 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 S02.85XS in its code family, with their registry titles.

  • S02.85XA — Fracture of orbit, unspecified, initial encounter for closed fracture
  • S02.85XB — Fracture of orbit, unspecified, initial encounter for open fracture
  • S02.85XD — Fracture of orbit, unspecified, subsequent encounter for fracture with routine healing
  • S02.85XG — Fracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
  • S02.85XK — Fracture of orbit, unspecified, subsequent encounter for fracture with nonunion
  • S02.9 — Fracture of unspecified skull and facial bones
  • S02.91 — Unspecified fracture of skull
  • S02.91XA — Unspecified fracture of skull, initial encounter for closed fracture
  • S02.91XB — Unspecified fracture of skull, initial encounter for open fracture
  • S02.91XD — Unspecified fracture of skull, subsequent encounter for fracture with routine healing

View all codes in the S02 family