LeFort fracture
ICD-10 S02.41 is a billable code used to indicate a diagnosis of lefort fracture.
A LeFort fracture refers to a specific type of facial fracture that involves the maxilla and is classified into three types based on the level of the fracture. The most common mechanism of injury is blunt trauma, often resulting from motor vehicle accidents, falls, or physical assaults. LeFort fractures can lead to significant complications, including airway obstruction, facial deformity, and dental malocclusion. Diagnosis typically involves a thorough clinical examination and imaging studies, such as CT scans, to assess the extent of the fracture and any associated injuries. Management often requires surgical intervention to realign the facial bones and restore function, followed by rehabilitation. The prognosis is generally good with appropriate treatment, but complications such as infection, nonunion, or malunion can occur, necessitating careful monitoring and follow-up. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging results.
Patients presenting with facial trauma after a car accident or physical altercation.
Ensure that all associated injuries are documented to support the complexity of the case.
Operative reports must detail the surgical approach, techniques used, and any complications encountered during the procedure.
Surgical repair of LeFort fractures following trauma.
Document any pre-existing conditions that may affect surgical outcomes.
Used during surgical intervention for LeFort fractures.
Operative report detailing the procedure and any complications.
Ensure that the surgical approach is clearly documented.
A LeFort fracture is a type of facial fracture that involves the maxilla and is classified into three types based on the level of the fracture. It is typically caused by blunt trauma.
Diagnosis is made through clinical examination and imaging studies, such as CT scans, which help determine the extent of the fracture and any associated injuries.
Complications can include airway obstruction, facial deformity, and dental malocclusion, which may require surgical intervention.
