Unspecified injury of unspecified eye and orbit, sequela

This code signifies a long-term effect or complication resulting from an unspecified injury to an unspecified eye and/or its surrounding orbital structures. It indicates that the original acute injury has resolved, but residual issues persist, and the specific nature of both the original injury and the affected eye/orbit are not documented.

Use this code when documentation clearly states a sequela (late effect) of an eye or orbital injury, but the specific type of injury (e.g., contusion, laceration, foreign body) and the laterality (left, right, or bilateral) are not specified. This code is appropriate for chronic conditions directly attributable to a past, unspecified ocular or orbital trauma.

• Always attempt to code to a more specific sequela code if the type of injury and/or laterality is documented.
• Requires a seventh character 'S' for sequela, indicating a late effect.
• Sequence this code after the code for the specific sequela (e.g., chronic pain, scar, visual impairment) if applicable.