Unspecified enophthalmos, right eye

This code describes the inward displacement or sinking of the right eyeball within the orbit, without further specification of its cause. It indicates a reduction in the orbital volume or a retraction of the globe.

Use this code when documentation clearly states "enophthalmos" affecting the right eye, but the underlying etiology (e.g., trauma, atrophy, congenital) is not identified or documented. This is appropriate for initial encounters where the cause is still under investigation.

• Ensure the documentation specifies "right eye" for laterality.
• Avoid using this code if a more specific cause of enophthalmos (e.g., post-traumatic, senile) is known and documented.
• Always query the provider for clarification if the cause of enophthalmos is suspected but not explicitly stated.