S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture

S02.85XA is the ICD-10-CM diagnosis code for fracture of orbit, unspecified, initial encounter for closed fracture. It belongs to category S02 (fracture of skull and facial bones), block S00-S09 (injuries to the head) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter for closed fracture: use it while the patient is receiving active treatment for the condition.

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC, relative weight 5.6154), DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC, relative weight 4.381), DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC, relative weight 2.7307), DRG 082 (Traumatic Stupor and Coma >1 Hour with MCC, relative weight 2.2928), DRG 083 (Traumatic Stupor and Coma >1 Hour with CC, relative weight 1.3831), DRG 084 (Traumatic Stupor and Coma >1 Hour without CC/MCC, relative weight 0.9605) and 6 more, in Pre-MDC, MDC 01 (Diseases and Disorders of the Nervous System) and MDC 24 (Multiple Significant Trauma), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2020, effective October 1, 2019.