Enophthalmos due to atrophy of orbital tissue, bilateral

This code signifies the inward displacement of both eyeballs within the orbital cavity, specifically caused by a reduction in the volume of the fatty and connective tissues surrounding the eyes. This atrophy leads to a sunken appearance of the eyes.

Use this code when documentation indicates bilateral enophthalmos where the underlying cause is identified as atrophy of the orbital tissue. This typically presents as a cosmetic concern and may be associated with aging, trauma, or certain systemic conditions affecting tissue volume.

• Ensure documentation explicitly states "bilateral" and attributes the enophthalmos to orbital tissue atrophy.
• Distinguish from enophthalmos due to other causes, such as fracture or congenital anomalies.
• Code any underlying systemic conditions contributing to orbital tissue atrophy, if known and documented.