Fracture of malar, maxillary and zygoma bones, unspecified
ICD-10 S02.40 is a billable code used to indicate a diagnosis of fracture of malar, maxillary and zygoma bones, unspecified.
The S02.40 code refers to fractures involving the malar (cheekbone), maxillary (upper jaw), and zygomatic (part of the cheekbone) bones, which are critical components of the facial skeleton. These fractures can occur due to various mechanisms of injury, including blunt trauma from falls, motor vehicle accidents, sports injuries, or physical altercations. Clinically, patients may present with facial swelling, bruising, pain, and deformity. Diagnostic imaging, such as X-rays or CT scans, is essential for confirming the fracture and assessing its extent. Management typically involves pain control, stabilization, and possibly surgical intervention depending on the fracture's severity and displacement. Complications can include malocclusion, facial asymmetry, and chronic pain. Accurate coding is crucial for proper reimbursement and tracking of injury patterns in epidemiological studies.
Documentation must include details of the injury mechanism, initial assessment findings, and any imaging results.
Patients presenting with facial trauma after a fall or altercation.
Ensure that all injuries are documented, including soft tissue injuries that may accompany fractures.
Operative reports must detail the surgical approach, fixation methods, and any complications encountered.
Surgical repair of displaced zygomatic fractures.
Document any pre-existing conditions that may affect healing or surgical outcomes.
Used when surgical intervention is required for zygomatic fractures.
Operative report detailing the procedure and findings.
Ensure that the surgical approach and any complications are documented.
S02.40 is used when the specific fracture type is not documented. More specific codes should be used when the fracture type and location are clearly identified in the medical record.
