Deformity of bilateral orbits due to trauma or surgery

This code signifies an abnormal shape or structural alteration of both eye sockets resulting from a previous injury or surgical intervention. It indicates a permanent change to the bony structure surrounding the eyes, impacting their normal appearance or function.

This code is appropriate for documenting bilateral orbital deformities clearly attributed to a history of trauma (e.g., fracture, blunt force injury) or prior surgical procedures involving the orbits. Documentation should explicitly state the traumatic or iatrogenic etiology and confirm the bilateral nature of the deformity.

• Ensure documentation specifies the cause of the deformity as either trauma or surgery; deformities due to congenital conditions or disease processes require different codes.
• Verify that the deformity affects both orbits; unilateral involvement would necessitate a different laterality code.
• Consider additional codes for any associated visual impairments, pain, or functional limitations resulting from the orbital deformity.