Contusion of eyeball and orbital tissues, right eye, sequela

This code signifies a past injury to the right eye involving bruising of the eyeball and surrounding orbital tissues, with residual effects or complications. It indicates that the initial injury has resolved, but its long-term consequences are now being addressed.

Apply this code when a patient presents with a current condition or symptom directly resulting from a previous contusion to the right eye and orbital tissues. Documentation should clearly link the current sequela to the historical contusion, such as chronic pain, vision impairment, or structural changes.

• Ensure the "S" (sequela) seventh character is appropriate, indicating a late effect of the injury.
• Code any specific sequela (e.g., glaucoma, retinal detachment) in addition to this code, if applicable.
• Verify laterality (right eye) is clearly documented; do not use for left or unspecified eye injuries.