Contusion of eyelids and periocular area

This code describes a bruise or blunt trauma to the soft tissues of the eyelids and the area immediately surrounding the eye, such as the periorbital region. It indicates damage to capillaries and other small blood vessels, resulting in discoloration and swelling without a laceration or open wound.

Use this code when documentation specifies a contusion, ecchymosis, or "black eye" affecting the eyelids or the periocular area due to blunt force. This typically occurs following impacts from falls, sports injuries, or assaults. Documentation should clearly state the location of the contusion.

• Differentiate from open wounds of the eyelid (e.g., lacerations), which would be coded elsewhere.
• Do not use for contusions involving the eyeball itself; those have distinct codes.
• Consider an external cause code (E-code) to describe the circumstances of the injury.