Fracture of lateral orbital wall, left side, sequela

This code signifies a long-term complication or late effect stemming from a previous fracture of the lateral wall of the left eye socket. These sequelae can include chronic pain, vision impairment, diplopia, enophthalmos, or cosmetic deformities resulting from the original injury. The initial fracture itself has healed, but its lasting consequences are now being addressed.

Use this code when documenting and billing for the treatment of residual conditions directly attributable to a past fracture of the left lateral orbital wall. Documentation should clearly state the causal link between the prior fracture and the current clinical presentation, indicating that the acute phase of the fracture has passed. This code is appropriate when the patient is presenting for management of these chronic issues.

• Always sequence this sequela code after the code for the specific manifestation of the sequela (e.g., chronic pain, diplopia).
• Ensure documentation explicitly states "sequela," "late effect," or describes a chronic condition resulting from a healed fracture.
• Do not use this code for acute or active fractures; those require codes from the S02.842- series without the "S" seventh character.