Fracture of orbital floor, right side, 7thK

This code signifies a non-healing break in the bone forming the floor of the right eye socket, specifically when the patient is receiving follow-up care for this complication. Nonunion indicates that the fracture fragments have failed to unite after a reasonable healing period. This condition can lead to diplopia, enophthalmos, and other orbital deformities.

Apply this code for patients presenting for ongoing treatment of a right orbital floor fracture that has been diagnosed with nonunion. Documentation should clearly state "nonunion" of the right orbital floor fracture and indicate that the encounter is for subsequent care, such as surgical intervention for nonunion, cast changes, or follow-up evaluations of the nonunion.

• Ensure documentation explicitly states "nonunion" and specifies the right orbital floor.
• Distinguish from malunion (improperly healed fracture) or routine follow-up of a healing fracture.
• Always sequence this code after the primary reason for the encounter if the nonunion is a complicating factor rather than the sole reason for the visit.