2025 ICD-10-CM code S02.839K
(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
Subsequent encounter for fracture of the medial orbital wall with nonunion, unspecified side.
Modifiers may apply depending on the specific services rendered during the encounter. Consult the appropriate modifier guidelines.
Medical necessity for this code would be established by documentation of a nonunion fracture of the medial orbital wall and a plan of care for its management.The nonunion should represent a significant clinical issue requiring medical attention.
The clinical responsibility involves the assessment, diagnosis, and management of the nonunion fracture of the medial orbital wall. This may involve imaging studies (CT scan), clinical examination, and potentially surgical intervention (e.g., open reduction and internal fixation) to achieve fracture union.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S00-T88 (Injury, poisoning and certain other consequences of external causes) > S00-S09 (Injuries to the head) > S02 (Fracture of nasal bone, zygomatic bone, maxilla, mandible and other facial bones)
In simple words: This code is used for a follow-up visit for a broken bone in the eye socket (medial orbital wall) that hasn't healed correctly. The location of the break (left or right side) isn't specified.
This ICD-10-CM code classifies a subsequent encounter for a fracture of the medial orbital wall, where the fracture has not healed (nonunion), and the side of the injury is unspecified.It is used for coding purposes when the initial encounter has already been documented.The code specifically excludes fractures of the orbital floor or roof.
Example 1: A patient presents for a follow-up visit six weeks after an initial encounter for a medial orbital wall fracture.Imaging reveals nonunion, and the physician orders further treatment., A patient sustained a facial fracture in a motor vehicle accident.The initial encounter is coded appropriately.This subsequent visit addresses nonunion of the medial orbital wall fracture., A patient is seen for the third time following a fight, which caused a medial orbital wall fracture.Despite initial treatment, the fracture shows signs of nonunion requiring more advanced management.
* Detailed history of the initial injury.* Radiographic imaging (e.g., CT scan) demonstrating the nonunion fracture.* Documentation of previous treatments and their outcomes.* Physician's assessment and plan for management.
** This code is specifically for subsequent encounters. The initial encounter should be coded with an appropriate code indicating the initial fracture, type, and laterality.This code should not be used for initial fracture encounters.
- Payment Status: Active
- Specialties:Ophthalmology, Oral and Maxillofacial Surgery, Emergency Medicine
- Place of Service:Office, Hospital, Ambulatory Surgical Center