Fracture of orbital roof

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2020 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

S02.121 Fracture of orbital roof, right side (also a header)
S02.122 Fracture of orbital roof, left side (also a header)
S02.129 Fracture of orbital roof, unspecified side (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2020 to now.

FY2020 Added to the code set Fracture of orbital roof

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S02 Fracture of skull and facial bones

Seventh character required

The appropriate 7th character is to be added to each code from category S02

Code also

any associated intracranial injury (S06.-)

Note

A fracture not indicated as open or closed should be coded to closed

Inherited from the S00-S09 section Injuries to the head (S00-S09)

Excludes2 - not included here

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)

Code also

for any associated infection

Includes

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

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Fracture, traumatic > orbit, orbital > roof

Codes in the same group

Code	Description	Status
S02.10	Unspecified fracture of base of skull	Not billable
S02.11	Fracture of occiput	Not billable
S02.19	Other fracture of base of skull	Not billable