2025 ICD-10-CM code S02.32XD
Fracture of orbital floor, left side, subsequent encounter for fracture with routine healing.
No specific modifier rules apply to this code.
Medical necessity for using this code is established by the need for ongoing monitoring of the healing process of a left orbital floor fracture.
The physician is responsible for assessing the healing progress of the fracture and determining if any further treatment is necessary. They will also document the patient's symptoms and overall condition.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the head (S00-S09)
In simple words: This code is used for a follow-up visit for a broken left eye socket that is healing normally.
This code describes a follow-up visit for a healed fracture of the left orbital floor.It indicates the fracture is healing normally, without complications such as delayed healing or nonunion.
Example 1: A patient who previously fractured their left orbital floor returns for a follow-up appointment. The physician examines the patient and determines that the fracture is healing as expected, with no signs of complications., A patient who underwent surgery to repair a left orbital floor fracture presents for a postoperative check-up. The physician confirms that the fracture is healing properly., A patient who experienced a left orbital floor fracture several weeks prior visits their physician for a scheduled follow-up. The physician notes routine healing and no need for further intervention.
Documentation should include the original date of injury, details of the initial treatment, progress notes from previous visits, and the current status of the fracture healing.Imaging reports may also be necessary.
** This code is exempt from the Present On Admission (POA) reporting requirement.
- Payment Status: Active
- Specialties:Ophthalmology,Plastic Surgery,Emergency Medicine,General Surgery
- Place of Service:Office,Outpatient Hospital,Inpatient Hospital