2025 ICD-10-CM code S02.84
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Fracture of lateral orbital wall Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Fracture of the lateral orbital wall.
Modifiers may be applicable depending on the specific circumstances of the encounter and the services provided. Consult the appropriate modifier guidelines for clarification.
Medical necessity is established by the presence of a lateral orbital wall fracture requiring diagnosis and treatment.This may involve surgical repair, if indicated, to restore orbital anatomy and function.The severity of the fracture, associated injuries, and potential for complications determine the level of medical necessity.
Diagnosis and treatment of orbital fracture, including imaging (CT scan), surgical repair if necessary, and post-operative care.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S00-S09 (Injuries to the head)
In simple words: This code describes a broken bone in the outer wall of the eye socket.Doctors will need to specify if it's on the left or right side and if the skin is broken.
This ICD-10-CM code classifies a fracture affecting the lateral wall of the bony orbit, the socket that houses the eyeball.The code requires further specification to indicate laterality (left or right side) and the nature of the fracture (open or closed).Additional codes may be necessary to specify associated injuries such as intracranial injury (S06.-) or retained foreign body (Z18.-).
Example 1: A patient presents to the emergency department after a motor vehicle accident with a lateral orbital wall fracture on the right side. The fracture is closed and does not require surgery., A patient sustains a lateral orbital wall fracture during a sporting event. A CT scan reveals a comminuted fracture requiring surgical repair with titanium plate and screws. The surgery is performed under general anesthesia., A patient is struck in the face during an assault. They present with a lateral orbital wall fracture, a nasal bone fracture and a subconjunctival hemorrhage. The patient requires surgery to repair the lateral orbital wall fracture.
Detailed medical history, physical examination findings, imaging reports (e.g., CT scan), operative reports if surgery was performed, and post-operative progress notes.
** This code is highly specific and requires detailed documentation to ensure accurate coding.Always cross-reference with the official ICD-10-CM guidelines and any payer-specific instructions.
- Payment Status: Active
- Specialties:Ophthalmology, Oral and Maxillofacial Surgery, Emergency Medicine
- Place of Service:Emergency Room - Hospital, Office, Inpatient Hospital, Ambulatory Surgical Center