2021 ICD-10-CM Code S02.85XS

Fracture of orbit, unspecified, sequela

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

Valid for Submission

S02.85XS is a billable diagnosis code used to specify a medical diagnosis of fracture of orbit, unspecified, sequela. The code S02.85XS 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 S02.85XS might also be used to specify conditions or terms like closed fracture of left orbit, closed fracture of right orbit, fracture of orbit, open fracture of left orbit or open fracture of right orbit. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

S02.85XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like fracture of orbit unspecified. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Unspecified diagnosis codes like S02.85XS 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:S02.85XS
Short Description:Fracture of orbit, unspecified, sequela
Long Description:Fracture of orbit, unspecified, sequela

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)

S02.85XS 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

S0285XS 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