Oclr lac/rupt w prolaps/loss of intraoc tissue, r eye, init

This code signifies a severe traumatic injury to the right eye where the integrity of the globe has been compromised, resulting in a full-thickness tear (laceration or rupture) and the extrusion or displacement of internal eye structures. This indicates a significant breach of the ocular wall with visible prolapse or loss of intraocular contents, such as the iris, ciliary body, lens, or vitreous.

Apply this code for initial encounters involving patients presenting with a right eye injury characterized by a full-thickness defect of the sclera or cornea, accompanied by the visible protrusion or absence of internal ocular tissue. Documentation should clearly state "laceration with prolapse," "rupture with loss of intraocular tissue," or similar phrasing, specifically identifying the right eye.

• Ensure documentation explicitly states "prolapse" or "loss of intraocular tissue" to differentiate from simple lacerations without tissue extrusion.
• Verify laterality (right eye) is clearly documented; codes exist for the left eye and unspecified eye.
• This "initial encounter" code is used for the period when the patient is receiving active treatment for the injury. Subsequent care would require a different encounter character.