New ICD-10 Codes Effective October 1, 2019

This section lists the new eyecare-related ICD-10 codes that are effective October 1, 2019. Some of the codes may apply to rare conditions, but are provided here for reference.

Fracture of Orbital Roof

CMS is adding specificity to codes describing orbital roof fractures. The following codes are effective beginning October 1, 2019.

Description Right Side Left Side Unspecified Side
Initial encounter for closed fracture S02.121A S02.122A S02.129A
Initial encounter for open fracture S02.121B S02.122B S02.129B
Subsequent encounter for fracture with routine healing S02.121D S02.122D S02.129D
Subsequent encounter for fracture with delayed healing S02.121G S02.122G S02.129G
Subsequent encounter for fracture with delayed healing subsequent encounter for fracture with nonunion S02.121K S02.122K S02.129K
Sequela S02.121S S02.122S S02.129S

Fracture of Medial Orbital Wall

CMS is adding specificity to codes describing medial orbital wall fractures. The following codes are effective beginning October 1, 2019.

Description Right Side Left Side Unspecified Side
Initial encounter for closed fracture S02.831A S02.832A S02.839A
Initial encounter for open fracture S02.831B S02.832B S02.839B
Subsequent encounter for fracture with routine healing S02.831D S02.832D S02.839D
Subsequent encounter for fracture with delayed healing S02.831G S02.832G S02.839G
Subsequent encounter for fracture with delayed healing subsequent encounter for fracture with nonunion S02.831K S02.832K S02.839K
Sequela S02.831S S02.832S S02.839S

Fracture of Lateral Orbital Wall

CMS is adding specificity to codes describing lateral orbital wall fractures. The following codes are effective beginning October 1, 2019.

Description Right Side Left Side Unspecified Side
Initial encounter for closed fracture S02.841A S02.842A S02.849A
Initial encounter for open fracture S02.841B S02.842B S02.849B
Subsequent encounter for fracture with routine healing S02.841D S02.842D S02.849D
Subsequent encounter for fracture with delayed healing S02.841G S02.842G S02.849G
Subsequent encounter for fracture with delayed healing subsequent encounter for fracture with nonunion S02.841K S02.842K S02.849K
Sequela S02.841S S02.842S S02.849S

Fracture of Orbit, Unspecified

CMS is adding specificity to codes describing unspecified orbital fractures.

Description Unspecified
Initial encounter for closed fracture S02.85XA
Initial encounter for open fracture S02.85XB
Subsequent encounter for fracture with routine healing S02.85XD
Subsequent encounter for fracture with delayed healing S02.85XG
Subsequent encounter for fracture with delayed healing subsequent encounter for fracture with nonunion S02.85XK
Sequela S02.85XS

Encounter for Examination of Eyes and Vision Following Failed Vision Screening

CMS is adding specificity to codes describing unspecified orbital fractures.

Description Unspecified
Without abnormal findings Z01.020
With abnormal findings Z01.021