Malar fracture, unspecified side
ICD-10 S02.400 is a billable code used to indicate a diagnosis of malar fracture, unspecified side.
A malar fracture, also known as a zygomatic fracture, involves a break in the malar bone, which is a key component of the facial skeleton. This injury typically results from blunt trauma to the face, such as from falls, sports injuries, or physical altercations. Patients may present with facial swelling, bruising, and tenderness over the affected area, along with potential changes in facial symmetry. Diagnostic imaging, such as X-rays or CT scans, is essential for confirming the fracture and assessing its extent. Treatment may vary from conservative management with pain control and ice application to surgical intervention for more complex fractures. Complications can include malunion, nonunion, or aesthetic deformities, necessitating careful follow-up and management. Accurate coding is crucial for proper reimbursement and tracking of injury patterns in clinical settings.
Documentation must include mechanism of injury, clinical findings, and imaging results.
Patients presenting with facial trauma after a fall or sports injury.
Ensure that all relevant injuries are documented to avoid undercoding.
Operative reports must detail the surgical approach, findings, and any repairs performed.
Surgical intervention for complex malar fractures requiring fixation.
Document any complications or additional procedures performed during surgery.
Used when surgical intervention is required for a malar fracture.
Operative report detailing the procedure performed and findings.
Ensure that the diagnosis code aligns with the surgical procedure performed.
S02.400 is used for unspecified malar fractures, while S02.401 specifies a fracture on the left side of the face.
