Valid for Submission
S02.85XD is a billable code used to specify a medical diagnosis of fracture of orbit, unspecified, subsequent encounter for fracture with routine healing. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S02.85XD might also be used to specify conditions or terms like fracture of orbit. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
|Short Description:||Fracture of orbit, unspecified, 7thD|
|Long Description:||Fracture of orbit, unspecified, subsequent encounter for fracture with routine healing|
New 2020 ICD-10 Code
S02.85XD is new to ICD-10 code set for the FY 2020, effective October 1, 2019. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This is a new and revised code for the FY 2020 (October 1, 2019 - September 30, 2020).
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
Diagnostic Related Groups
The ICD-10 code S02.85XD is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2020.
- 949 - AFTERCARE WITH CC/MCC
- 950 - AFTERCARE WITHOUT CC/MCC
Present on Admission (POA)
S02.85XD 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 Code||POA Reason for Code||CMS will pay the CC/MCC DRG?|
|Y||Diagnosis was present at time of inpatient admission.||YES|
|N||Diagnosis was not present at time of inpatient admission.||NO|
|U||Documentation insufficient to determine if the condition was present at the time of inpatient admission.||NO|
|W||Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.||YES|
|1||Unreported/Not used - Exempt from POA reporting. ||NO|
S0285XD replaces the following previously assigned ICD-10 code(s):
- S02.80XD - Fx oth skull and facial bones, unspecified side, 7thD
Injury, poisoning and certain other consequences of external causes (S00–T98)
Injuries to the head (S00-S09)
Fracture of skull and facial bones (S02)
- FY 2020 - Code Added, effective from 10/1/2019 through 9/30/2020