Zygomatic fracture, right side, sequela

This code signifies a long-term complication or residual effect stemming from a prior fracture of the right zygoma (cheekbone). It indicates that the patient is currently experiencing issues directly attributable to the healed or previously treated zygomatic fracture, rather than an acute injury.

Apply this code when a patient presents with ongoing symptoms such as chronic pain, malunion, nonunion, cosmetic deformity, or functional impairment (e.g., vision changes, mastication difficulties) that are a direct consequence of a past right zygomatic fracture. Documentation should clearly link the current complaint to the historical fracture event and specify the right side.

• Always sequence this sequela code first, followed by codes for the specific manifestation(s) of the sequela (e.g., chronic pain, malunion).
• Distinguish carefully between an acute fracture (S02.411A-S02.411S) and a sequela; sequela codes are used for conditions arising after the initial healing period.
• Ensure the medical record explicitly states the laterality (right side) and the causal link between the current condition and the previous zygomatic fracture.