Valid for Submission
S02.849D is a billable diagnosis code used to specify a medical diagnosis of fracture of lateral orbital wall, unspecified side, subsequent encounter for fracture with routine healing. The code S02.849D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S02.849D 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 lateral orbital wall unspecified side for fracture with routine healing. 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 S02.849D 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.
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
S02849D replaces the following previously assigned ICD-10 code(s):