ICD-10-CM 2027 diagnosis code
S02.85XGFracture of orbit, unspecified, subsequent encounter for fracture with delayed healing
S02.85XG is a valid, billable ICD-10-CM code for fracture of orbit, unspecified, subsequent encounter for fracture with delayed healing. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Fracture of orbit, unspecified, 7thG
Code last changed in FY2020 (effective October 1, 2019). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About S02.85XG
S02.85XG is the ICD-10-CM diagnosis code for fracture of orbit, unspecified, subsequent encounter for fracture with delayed healing. 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 "G" means subsequent encounter for fracture with delayed healing: use it for encounters after active treatment, while the patient is healing or recovering.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), 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 is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It was added in FY2020, effective October 1, 2019.
7th character
Gsubsequent encounter for fracture with delayed healing
CC/MCC status for this injury by encounter: CC for A, B, K; Neither CC nor MCC for D, G, S.
Other encounter types for S02.85:
Notes that apply from higher levels
Instructions written at a parent level also apply to S02.85XG.
› From S02 Fracture of skull and facial bones
- A fracture not indicated as open or closed should be coded to closed
- any associated intracranial injury (S06.-)
Broader instructions also apply from S00-S09 Injuries to the head and Chapter 19: Injury, poisoning and certain other consequences of external causes.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2020 (effective 10/1/2019): Added
- No changes since FY2020.
Common questions about S02.85XG
Is S02.85XG billable?
- Yes. S02.85XG is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "G" at the end of S02.85XG mean?
- It is the 7th character for subsequent encounter for fracture with delayed healing. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.
Can S02.85XG be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S02.85XG as a principal diagnosis.
Is S02.85XG a CC or MCC?
- No. S02.85XG is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S02.85XG group to?
- S02.85XG is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.