S02.122K
ICD-10-CMFracture of orbital roof, left side, subsequent encounter for fracture with nonunion
This code signifies a fracture of the superior wall of the left orbit, which has failed to heal properly after initial treatment. The patient is presenting for ongoing management of this nonunion, indicating that the bone fragments have not united and a fibrous or cartilaginous tissue has formed between them.
Use this code when a patient with a previously diagnosed and treated left orbital roof fracture presents for care related to the nonunion. Documentation should clearly state "nonunion" of the left orbital roof fracture and indicate that this is a subsequent encounter for ongoing treatment or evaluation of this complication.
AI-generated reference — verify against official guidelines
+5 more in this category