2021 ICD-10-CM Code S02.129K

Fracture of orbital roof, unspecified side, subsequent encounter for fracture with nonunion

Version 2021
Billable Code
7th Character Code
Unspecified Code
Subsequent Code
MS-DRG Mapping
POA Exempt

Valid for Submission

S02.129K is a billable diagnosis code used to specify a medical diagnosis of fracture of orbital roof, unspecified side, subsequent encounter for fracture with nonunion. The code S02.129K 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 S02.129K might also be used to specify conditions or terms like fracture of orbital roof. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

S02.129K is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like fracture of orbital roof unspecified side for fracture with nonunion. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Unspecified diagnosis codes like S02.129K 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.

ICD-10:S02.129K
Short Description:Fracture of orbital roof, unspecified side, 7thK
Long Description:Fracture of orbital roof, unspecified side, subsequent encounter for fracture with nonunion

Code Classification

Approximate Synonyms

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

Present on Admission (POA)

S02.129K is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Replacement Code

S02129K replaces the following previously assigned ICD-10 code(s):

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