Breakdown (mechanical) of ocular prosth dev/grft, subs

This code signifies a mechanical failure or malfunction of an ocular prosthetic device, implant, or graft, excluding intraocular lenses, occurring during a subsequent encounter for care. This breakdown could involve issues such as displacement, fracture, or loosening of the device, requiring further medical attention.

Use this code when a patient presents for follow-up care due to a mechanical problem with an artificial eye, orbital implant, or other non-lens ocular graft. This applies to situations where the initial treatment for the device's placement has already been completed, and the patient is now experiencing a complication related to its structural integrity.

• Ensure the documentation clearly specifies a mechanical breakdown, not an infection or other non-mechanical complication.
• Verify that the encounter is a subsequent encounter, indicating ongoing care for the complication.
• Confirm the device involved is an "other ocular prosthetic device, implant, or graft" and not an intraocular lens (which has a different code series).