S02.31XG
ICD-10-CMFracture of orbital floor, right side, subsequent encounter for fracture with delayed healing
This code signifies a fracture of the right orbital floor, indicating a break in the bone that forms the bottom of the eye socket. The "subsequent encounter" aspect specifies that the patient is receiving follow-up care for this fracture, which is experiencing a delay in the normal healing process. This condition can lead to complications such as enophthalmos or diplopia.
Use this code for patients presenting for ongoing treatment of a right orbital floor fracture where the healing is not progressing as expected. Documentation should clearly state the location of the fracture (right orbital floor), the delayed healing status, and that the encounter is for follow-up care, not initial treatment. This code is appropriate when the patient is seen for evaluation, management, or intervention related to the delayed union or nonunion of the fracture.
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