2025 ICD-10-CM code S02.83
(Active) Effective Date: N/A Revision Date: N/A Injury - Fracture of medial orbital wall Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Fracture of the medial orbital wall.
Modifiers may be applicable depending on the specific circumstances and procedures. Consult the official guidelines for appropriate modifier usage.For example, modifiers may be used to specify the laterality of the fracture or to indicate multiple procedures.
Medical necessity for the treatment of a medial orbital wall fracture is established based on the severity of the fracture, presence of associated injuries, and the potential for long-term complications such as diplopia (double vision), enophthalmos (sunken eye), or cosmetic deformity.The decision to manage conservatively or surgically depends on the clinical presentation and the potential benefit versus risk of intervention.
The clinical responsibility for this code involves the diagnosis and management of a medial orbital wall fracture. This may include performing a physical examination, ordering imaging studies (e.g., CT scan) to assess the fracture's extent, and developing a treatment plan. Treatment options can range from conservative management (observation and pain control) to surgical intervention (e.g., open reduction and internal fixation) depending on the severity of the fracture and presence of associated complications. Post-operative care, including follow-up visits and monitoring for potential complications, is also an important aspect of clinical responsibility.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S00-S09 (Injuries to the head)
In simple words: This code is for a broken bone in the inner wall of the eye socket.
This ICD-10-CM code signifies a fracture affecting the medial wall of the bony orbit, the socket protecting the eye.It excludes fractures of the orbital floor (S02.3-), orbital roof (S02.1-), and lateral orbital wall (S02.84-).Additional codes should be used to specify the laterality (right, left, unspecified) and to indicate any associated intracranial injury (S06.-) or retained foreign body (Z18.-).
Example 1: A patient presents to the emergency department after a motor vehicle accident with facial trauma.A CT scan reveals a fracture of the medial orbital wall.The patient undergoes surgical repair with open reduction and internal fixation., A patient sustains a blow to the face during a sporting event.Examination reveals tenderness and swelling around the eye, and imaging confirms a minimally displaced fracture of the medial orbital wall.The patient is managed conservatively with pain medication and close monitoring., A child falls from a height, resulting in facial injuries. Radiographic imaging reveals a comminuted fracture of the medial orbital wall with associated orbital floor fracture and displacement of orbital contents. Surgical repair is indicated to restore orbital anatomy and prevent long-term complications.
Detailed medical history describing the mechanism of injury.Complete physical examination findings, focusing on the affected eye and surrounding structures.Radiological imaging reports, such as CT scans or X-rays, clearly demonstrating the fracture location and extent.Documentation of any surgical procedures performed and post-operative course.Complete description of any associated injuries.Any relevant laboratory results (e.g., infection markers).
** Always refer to the most current version of the ICD-10-CM manual and any relevant payer-specific guidelines for the most accurate coding practices. This information is for guidance only and should not be considered exhaustive.Consult with a qualified medical coding specialist when necessary.
- Payment Status: Active
- Modifier TC rule: Not applicable to diagnosis codes.
- Specialties:Ophthalmology, Neurosurgery, Oral and Maxillofacial Surgery, Emergency Medicine
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center