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Specific ICD codes for Orbital Fractures effective Oct 1, 2019


Currently, there is only one diagnosis code is present for Orbital Fracture of floor, S02.3- Fracture of orbital floor, to report orbital bone fractures, and only one diagnosis code, S02.19 Other fracture of base of skull, to report orbital roof fractures.

Currently there is no code that allows you to specify which of the other three walls are injured of the orbit like,

1. Roof, 
2. Medial wall
3. Temporal wall

And now ICD-10-CM code book will be included several new codes that more clearly identify orbital fractures.

The new subcategories are,

Under new subcategory S02.12 Fracture of orbital roof, are new codes:

S02.121 Fracture of orbital roof, right side

S02.122 Fracture of orbital roof, left side

S02.129 Fracture of orbital roof, unspecified side

Under new subcategory S02.83 Fracture of medial orbital wall, are new codes:

S02.831 Fracture of medial orbital wall, right side

S02.832 Fracture of medial orbital wall, left side

S02.839 Fracture of medial orbital wall, unspecified side

Under new subcategory S02.84 Fracture of lateral orbital wall, are new codes:

S02.841 Fracture of lateral orbital wall, right side

S02.842 Fracture of lateral orbital wall, left side

S02.849 Fracture of lateral orbital wall, unspecified side

Under category S02.8 Fractures of other specified skull and facial bones, is one new code:

S02.85 Fracture of orbit, unspecified

Be More Specific:

To these fracture codes, add the appropriate seventh character to indicate encounter type,

A – Initial encounter for closed fracture

B – Initial encounter for open fracture

D – Subsequent encounter for fracture with routine healing

G – Subsequent encounter for fracture with delayed healing

K – Subsequent encounter for fracture with nonunion

S – Sequela

For S02.85, add a placeholder X in the sixth character position.

Click Here for overall changes
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