Zygomatic fracture, right side, 7thB

This code signifies a break in the zygomatic bone (cheekbone) on the right side, where the skin and soft tissue overlying the fracture are also compromised, exposing the bone. This indicates an open wound communicating with the fracture site.

Apply this code for a patient presenting with a newly diagnosed, open fracture of the right zygoma. Documentation should clearly state the laterality (right), the open nature of the fracture (e.g., "compound fracture," "bone exposed"), and that this is the initial treatment episode for the injury.

• Ensure documentation explicitly states "open fracture" to differentiate from closed fractures (S02.40XA).
• Verify laterality (right vs. left) is clearly documented; incorrect laterality is a common coding error.
• This "initial encounter" code is used for the entire period a patient is receiving active treatment for the fracture.