Breakdown of prosthetic orbit of left eye, sequela

This code indicates a mechanical failure or malfunction of an artificial eye socket (prosthetic orbit) in the left eye, where the current encounter is for the long-term effects or complications of that breakdown. This could involve issues like fracturing, dislodgement, or material degradation of the orbital prosthesis itself. The "sequela" designation signifies that the initial breakdown occurred in the past, and the patient is now presenting for treatment of its lasting consequences.

Use this code when documenting a patient visit for a chronic problem or late effect stemming from a previously experienced mechanical breakdown of their left orbital prosthesis. This applies to situations where the original breakdown is no longer an acute event, but its lingering impact, such as chronic pain, infection, or the need for reconstructive surgery due to the prior failure, is being addressed.

• Ensure documentation clearly links the current condition to a past mechanical breakdown of the left orbital prosthesis.
• Do not use for acute or initial presentations of a prosthetic breakdown; those would typically use the acute T85.311A or T85.311D codes.
• Always code any associated manifestations or complications of the sequela (e.g., infection, pain) in addition to this code.