Malar fracture, unspecified side, sequela

This code signifies a long-term complication or late effect resulting from a malar (cheekbone) fracture, where the specific side of the face affected is not documented. It indicates that the initial injury has healed, but residual issues persist.

Apply this code when a patient presents with a condition directly attributable to a previous malar fracture, such as chronic pain, deformity, or functional impairment, after the acute phase of healing has passed. Documentation should clearly link the current complaint to the prior fracture and specify that it is a sequela.

• Always use this code as a secondary diagnosis, following the code for the specific sequela (e.g., M26.0- for dentofacial anomalies).
• Ensure documentation explicitly states "sequela," "late effect," or describes a condition directly resulting from a healed malar fracture.
• Do not use this code for acute or subacute malar fractures; those are coded with S02.400A-D.