2027 ICD-10-CM Diagnosis Code S02.32XDFracture of orbital floor, left side, subsequent encounter for fracture with routine healing
S02.32XD is a billable ICD-10-CM diagnosis code for fracture of orbital floor, left side, subsequent encounter for fracture with routine healing. The 7th character D means subsequent encounter for fracture with routine healing, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 559 through 561. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Fracture of head and neck, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S02.32XD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the head (S00-S09).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Blow out fracture of orbit
- Closed blow out fracture of orbit
- Closed blow out fracture of orbital floor
- Closed blow-out fracture of left orbital floor
- Closed fracture of left orbit
- Closed fracture of left orbital floor
- Closed fracture of orbital floor
- Open blow out fracture of orbit
- Open blow out fracture of orbital floor
- Open blow-out fracture of left orbital floor
- Open fracture of left orbit
- Open fracture of left orbital floor
Coding GuidelinesGuidance
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to the level of detail furnished by medical record content.
A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.
Initial vs. Subsequent Encounter for Fractures
Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) while the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.
Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N) or subsequent care with malunion (P, Q, R).
The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S02.32XD: its own notes plus those printed at S02.3, S02, block S00-S09, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
- any associated intracranial injury (S06.-)
- for any associated infection
Notes
General instructions on how these codes are used.
- A fracture not indicated as open or closed should be coded to closed
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S02
- Ainitial encounter for closed fracture
- Binitial encounter for open fracture
- Dsubsequent encounter for fracture with routine healing this code
- Gsubsequent encounter for fracture with delayed healing
- Ksubsequent encounter for fracture with nonunion
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S02.32XD, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming S02.32XD: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 5
These codes carry an Excludes2 note naming S02.32XD: its condition is not part of those codes, and both may be reported when the patient has both.
- S02.1 Fracture of base of skullorbital floor (S02.3-) names S02.3-, which includes this code
- S02.8 Fractures of other specified skull and facial bonesfracture of orbital floor (S02.3-) names S02.3-, which includes this code
- S02.83 Fracture of medial orbital wallorbital floor (S02.3-) names S02.3-, which includes this code
- S02.84 Fracture of lateral orbital wallorbital floor (S02.3-) names S02.3-, which includes this code
- S05 Injury of eye and orbitorbital bone fracture (S02.1-, S02.3-, S02.8-) names S02.3-, which includes this code
Code First 1
These codes say to code first a condition named in the note, and S02.32XD is one of the conditions named.
Use Additional Code 1
These codes say to use an additional code from the note, and S02.32XD is one of the codes named.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Facial Injuries and Disorders
Face injuries and disorders can cause pain and affect how you look. In severe cases, they can affect sight, speech, breathing and your ability to swallow. Fractures (broken bones), especially in the bones of your nose, cheekbone and jaw, are common facial injuries.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S02.32XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement S02.32XD replaces the following previously assigned code(s):
- S02.3XXD - Fracture of orbital floor, subs for fx w routn heal
Questions About S02.32XDOverview
Is S02.32XD (Fracture of orbital floor, left side) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report fracture of orbital floor, left side, subsequent encounter for fracture with routine healing on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S02.32XD mean?
The final character D marks a subsequent encounter: use it for routine care while the fracture of orbital floor, left side is healing, after active treatment has ended. In this category the CMS Tabular List defines D as "subsequent encounter for fracture with routine healing".
What MS-DRG does S02.32XD group to?
When fracture of orbital floor, left side, subsequent encounter for fracture with routine healing is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 561, 560, with relative weights from 0.8258 to 1.8087 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S02.32XD exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for fracture of orbital floor, left side, subsequent encounter for fracture with routine healing on inpatient claims. The code appears in the Injuries to the head (S00-S09) range of the CMS exempt list.
Can S02.32XD be reported with S02.85?
Not as a rule. The Excludes1 note at S02.3, which applies to S02.32XD, lists "orbit NOS (S02.85)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
