LeFort II fracture, subs for fx w routn heal

This code signifies a follow-up visit for a LeFort II fracture, which involves a pyramidal fracture of the midface, separating the maxilla and nasal bones from the skull base. The "D" seventh character indicates that the fracture is healing routinely without complications during this subsequent encounter.

Apply this code for patients presenting for routine follow-up care of a LeFort II fracture after the initial treatment phase. Documentation should confirm the fracture type, the healing status as routine, and that this is not the initial treatment encounter. This code is appropriate when the patient is progressing as expected.

• Ensure documentation explicitly states "routine healing" or similar language indicating an uncomplicated recovery.
• Distinguish from "G" (delayed healing), "K" (nonunion), or "P" (malunion) seventh characters, which indicate complications.
• Confirm the fracture is specifically a LeFort II; other facial fractures will require different codes.