ICD-10-CM 2027 diagnosis code
S02.85XSFracture of orbit, unspecified, sequela
S02.85XS is a valid, billable ICD-10-CM code for fracture of orbit, unspecified, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
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 S02.85XS
S02.85XS is the ICD-10-CM diagnosis code for fracture of orbit, unspecified, sequela. 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 "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.
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 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC, relative weight 1.6238) and DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC, relative weight 0.9973), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), 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
Ssequela
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 S02.85XS.
› 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 21 · Injuries, Poisonings and Toxic Effects of Drugs
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 S02.85XS
Is S02.85XS billable?
- Yes. S02.85XS is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "S" at the end of S02.85XS mean?
- It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.
Can S02.85XS be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S02.85XS as a principal diagnosis.
Is S02.85XS a CC or MCC?
- No. S02.85XS is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S02.85XS group to?
- S02.85XS is used in the MS-DRG v44.0 logic for MS-DRG 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC) and MS-DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.