Fracture of lateral orbital wall
ICD-10 S02.84 is a billable code used to indicate a diagnosis of fracture of lateral orbital wall.
A fracture of the lateral orbital wall is a specific type of facial fracture that occurs in the bony structure surrounding the eye. This injury typically results from blunt trauma to the face, such as from a sports injury, motor vehicle accident, or physical assault. The lateral orbital wall is composed of the zygomatic bone and the greater wing of the sphenoid bone, and fractures in this area can lead to various complications, including diplopia (double vision), enophthalmos (sunken eye), and potential damage to the optic nerve. Diagnosis is primarily made through clinical evaluation and imaging studies, such as CT scans, which provide detailed visualization of the fracture and any associated injuries. Management often involves surgical intervention to repair the fracture and restore the structural integrity of the orbit, especially if there is significant displacement or associated complications. Post-operative care and monitoring for complications such as infection or vision changes are crucial for optimal recovery.
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 fall or collision, requiring immediate evaluation and imaging.
Ensure that all relevant injuries are documented to support accurate coding and billing.
Operative reports must clearly describe the surgical procedure performed, including any repairs or reconstructions of the orbital wall.
Surgical intervention for displaced fractures or those causing significant functional impairment.
Document any complications or additional procedures performed during surgery.
Used when surgical intervention is performed to repair the fracture.
Operative report detailing the procedure, materials used, and any complications.
Ensure alignment with the diagnosis of S02.84 for accurate billing.
Common causes include blunt trauma from sports injuries, falls, motor vehicle accidents, and physical altercations.
Diagnosis is typically made through clinical evaluation and imaging studies, particularly CT scans, which can reveal the extent of the fracture and any associated injuries.
Complications can include diplopia, enophthalmos, orbital cellulitis, and damage to the optic nerve, necessitating careful monitoring and management.
