Malar fracture, unspecified side, 7thB

This code signifies a fracture of the malar bone (cheekbone) where the skin and underlying tissue are broken, exposing the bone. The specific side of the face affected is not documented or specified. This code is used for the initial treatment of this injury.

Apply this code when documentation clearly states an open fracture of the malar bone and does not specify laterality (left or right). This is appropriate for the first encounter where the patient receives active treatment for the fracture, such as reduction, internal fixation, or wound care.

• Ensure documentation explicitly states "open fracture" and "initial encounter."
• If laterality (left or right) is specified, use the more specific S02.401B or S02.402B.
• Do not use this code for subsequent encounters or for closed malar fractures.