Fracture of orbital roof, right side, 7thK

This code signifies a nonunion of a fracture involving the roof of the right orbit, indicating that the bone has failed to heal properly after an initial injury. This condition can lead to persistent pain, vision problems, or cosmetic deformities.

Use this code for a patient presenting for follow-up care, evaluation, or management of a previously diagnosed right orbital roof fracture that has not united. Documentation should clearly state "nonunion" and specify the right side and orbital roof location.

• Ensure documentation explicitly states "nonunion" for the fracture; otherwise, a routine subsequent encounter code would be more appropriate.
• Verify the laterality (right side) is clearly documented to avoid miscoding.
• This code requires an additional code for any associated complications or sequelae of the nonunion.