2025 ICD-10-CM code S02.832B
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Fractures of the orbit Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Fracture of the medial orbital wall, left side, initial encounter for an open fracture.
Modifiers may be applicable depending on the circumstances of the service provided (e.g., different surgical approaches, anesthesia type, location of the service).Always refer to the official modifier guidelines.
Medical necessity for treatment of a fracture of the medial orbital wall is established based on the presence of a fracture (confirmed through imaging), the clinical symptoms and signs consistent with the fracture (e.g., pain, swelling, visual impairment), and the need for intervention to prevent complications, restore anatomical integrity, and improve functional outcomes.The type of intervention (surgical or non-surgical) is determined based on individual clinical judgment.
The clinical responsibility for this code rests primarily with ophthalmologists, otolaryngologists, or maxillofacial surgeons, depending on the extent and nature of the injury and associated complications.Their responsibilities include diagnosis, surgical repair (if necessary), post-operative care, and management of potential complications.Other healthcare professionals, such as emergency medicine physicians, may be involved in the initial management.
- 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 on the left side.It's for the first time this injury is treated and requires surgery.
This ICD-10-CM code classifies the initial encounter for an open fracture of the medial wall of the left orbit.It denotes a break in the bone forming the inner side of the eye socket on the left side, requiring an open approach for treatment (e.g., surgery).This code is specific to the initial encounter; subsequent encounters for this fracture would utilize different codes within the S02.832 series depending on the healing process.
Example 1: A patient presents to the emergency department after a motor vehicle accident with a deep laceration over the left eye and underlying fracture of the medial orbital wall.The fracture is treated surgically, requiring open reduction and internal fixation., A patient sustains a blunt force trauma to the left eye during a sporting event. Imaging reveals a comminuted fracture of the medial orbital wall.The patient undergoes surgery to repair the fracture., A patient is involved in an assault resulting in a severe blow to the left face.Imaging demonstrates a displaced fracture of the medial orbital wall with orbital floor involvement.The patient requires surgical intervention to reposition the bone fragments and repair the floor.
Detailed documentation should include the mechanism of injury, the date and time of injury, the initial presentation of the patient, results of imaging studies (CT scan, X-rays), operative reports (if surgery was performed), descriptions of the fracture type (open vs. closed, displaced vs. non-displaced, comminuted vs. simple), and the extent of any associated injuries (e.g., ocular injuries, intracranial injuries).
** This code is specific to the initial encounter for an open fracture.Subsequent encounters require different codes from the S02.832 series depending on the status of the fracture healing.Always ensure correct coding practices for comprehensive and accurate medical billing.
- Payment Status: Active
- Specialties:Ophthalmology, Otolaryngology, Neurosurgery, Emergency Medicine
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital, Office, Ambulatory Surgical Center