Open bite of oral cavity, sequela

This code signifies a long-term complication or late effect resulting from an open bite injury to the oral cavity. It indicates that the initial acute injury has healed, but residual issues, such as scarring, chronic pain, or functional impairment, persist due to the original trauma.

Apply this code when documenting a patient presenting with a current condition directly attributable to a past open bite of the oral cavity. Documentation should clearly link the current sequela to the previous injury, often years after the initial event.

• Always sequence the sequela code first, followed by a code describing the specific nature of the sequela (e.g., scar, malocclusion).
• Ensure the medical record explicitly states the connection between the current condition and a previous open bite injury.
• Do not use this code for acute open bite injuries; those require codes from the acute injury section.