Enophthalmos due to trauma or surgery, right eye

This code signifies the posterior displacement or sinking of the right eyeball within the orbit, specifically resulting from an injury or a surgical intervention. This condition can lead to cosmetic concerns, visual disturbances, and orbital volume deficits.

Apply this code when documentation clearly states enophthalmos affecting the right eye, with the etiology explicitly linked to a traumatic event (e.g., orbital fracture) or a previous surgical procedure involving the orbit or surrounding structures. Supporting documentation should detail the cause and the affected eye.

• Ensure the documentation specifies the right eye; laterality is crucial for accurate coding.
• Verify the cause is explicitly trauma or surgery; other etiologies for enophthalmos (e.g., congenital, senile) have different codes.
• Sequence this code after any acute injury codes if the trauma is recent and still being treated.