2021 ICD-10-CM Code S02.129A

Fracture of orbital roof, unspecified side, initial encounter for closed fracture

Version 2021
Billable Code
7th Character Code
Unspecified Code
Initial Code

Valid for Submission

S02.129A is a billable diagnosis code used to specify a medical diagnosis of fracture of orbital roof, unspecified side, initial encounter for closed fracture. The code S02.129A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

The ICD-10-CM code S02.129A might also be used to specify conditions or terms like fracture of orbital roof.

S02.129A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like fracture of orbital roof unspecified side for closed fracture. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Unspecified diagnosis codes like S02.129A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

The code S02.129A is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Emergency Medicine: Emergency Department Utilization Of Ct For Minor Blunt Head Trauma For Patients Aged 2 Through 17 Years.

ICD-10:S02.129A
Short Description:Fracture of orbital roof, unspecified side, init
Long Description:Fracture of orbital roof, unspecified side, initial encounter for closed fracture

Code Classification

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Replacement Code

S02129A replaces the following previously assigned ICD-10 code(s):

Quality Payment Program Measures

When code S02.129A is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.

Quality Measure Description Quality Domain Measure Type High Priority Submission Methods
Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 YearsPercentage of emergency department visits for patients aged 2 through 17 years who presented with a minor blunt head trauma who had a head CT for trauma ordered by an emergency care provider who are classified as low risk according to the Pediatric Emergency Care Applied Research Network (PECARN) prediction rules for traumatic brain injury.Efficiency and Cost ReductionEfficiencyYESClaims, Registry

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020