Zygomatic fracture, unspecified side
ICD-10 S02.402 is a billable code used to indicate a diagnosis of zygomatic fracture, unspecified side.
A zygomatic fracture, also known as a cheekbone fracture, occurs when there is a break in the zygomatic bone, which is a key component of the facial skeleton. This type of fracture can result from various mechanisms of injury, including blunt trauma from falls, sports injuries, or assaults. Symptoms typically include facial swelling, bruising, pain, and potential changes in facial symmetry. Patients may also experience difficulty with eye movement or vision if the fracture affects the orbit. Diagnosis is primarily through clinical examination and imaging studies such as X-rays or CT scans to assess the extent of the fracture and any associated injuries. Management may involve conservative treatment with pain control and ice application, or surgical intervention in cases of significant displacement or functional impairment. Complications can include malunion, infection, or persistent pain. Accurate coding is essential for proper reimbursement and tracking of injury patterns.
Documentation must include a detailed account of the mechanism of injury, clinical findings, and any imaging results.
Patients presenting with facial trauma after a fall or altercation.
Ensure that all relevant injuries are documented to avoid undercoding.
Operative reports must detail the surgical approach, findings, and any repairs made.
Surgical intervention for displaced zygomatic fractures.
Document any complications or additional procedures performed during surgery.
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.
S02.402 is used for unspecified zygomatic fractures, while S02.401 specifies a fracture on the right side. Accurate documentation of laterality is crucial for correct coding.
