Oclr lac/rupt w prolaps/loss of intraoc tissue, l eye, init

This diagnosis code signifies a severe traumatic injury to the left eye, involving a full-thickness tear or rupture of the globe, accompanied by the extrusion or loss of internal ocular structures such as the iris, ciliary body, lens, or vitreous. This type of injury often results from blunt or penetrating trauma and represents a critical ophthalmic emergency.

Apply this code when documentation clearly indicates a laceration or rupture of the left eyeball with visible prolapse or loss of intraocular contents. This is typically seen in cases of significant eye trauma, such as from projectiles, sharp objects, or high-impact blunt force. The "initial encounter" designation is used for the period of active treatment for the injury.

• Ensure documentation explicitly states "prolapse" or "loss of intraocular tissue" to differentiate from simple lacerations without tissue extrusion.
• Verify laterality (left eye) is clearly documented; separate codes exist for the right eye and bilateral involvement.
• Always sequence this code first as the primary diagnosis when it represents the reason for the encounter.