2025 ICD-10-CM code S02.831

Fracture of the medial wall of the right eye socket.

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury.Use additional code to identify any retained foreign body, if applicable (Z18.-)

Medical necessity for services related to S02.831 is established by the nature and severity of the fracture. This includes the need for diagnostic imaging, pain management, consultations, surgical intervention if required, and follow-up care.

Diagnosis and treatment of the fracture by healthcare professionals, including ophthalmologists, emergency medicine physicians, and potentially specialists like oral and maxillofacial surgeons depending on the extent of the injury.This may involve imaging studies (CT scan, X-ray), pain management, and possibly surgical intervention.

In simple words: A break in the bone on the inner side of the right eye socket.

Fracture of medial orbital wall, right side

Example 1: A patient presents to the emergency room after being struck in the face with a baseball. Imaging reveals a fracture of the right medial orbital wall.Code S02.831 is used to document the specific injury., During a motor vehicle accident, a patient sustains multiple facial injuries, including a fracture of their right medial orbital wall. This fracture is coded as S02.831, along with other relevant injury codes., A patient falls and hits their head, resulting in a right medial orbital wall fracture, confirmed by CT scan. The appropriate ICD-10-CM code is S02.831, reflecting the location and nature of the injury.

Documentation should include the details of the incident causing the fracture, physical examination findings, imaging results (X-ray, CT scan), and any associated injuries.The type of fracture (closed or open) should also be clearly documented.

** For proper coding, it's crucial to distinguish fractures of the medial orbital wall from other orbital fractures (floor, roof, lateral wall, or unspecified), each having its specific ICD-10-CM code.

  • Specialties:Ophthalmology, Emergency Medicine, Oral and Maxillofacial Surgery
  • Place of Service:Emergency Room - Hospital, Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Physician's Office
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