LeFort II fracture
ICD-10 S02.412 is a billable code used to indicate a diagnosis of lefort ii fracture.
A LeFort II fracture is a type of mid-facial fracture that involves the maxilla and the nasal bones, characterized by a horizontal fracture line that extends from the nasal bridge through the maxilla and into the zygomatic arch. This fracture is typically the result of high-impact trauma, such as motor vehicle accidents, falls, or assaults. Clinically, patients may present with facial swelling, bruising, and malocclusion. The fracture can lead to complications such as airway obstruction, vision problems, and significant cosmetic deformities if not properly managed. Diagnosis is primarily through imaging studies, including CT scans, which provide detailed views of the facial skeleton. Management often requires surgical intervention to realign the fractured bones and stabilize the facial structure, followed by a period of recovery and rehabilitation. The prognosis is generally good with appropriate treatment, but complications can arise if the fracture is not accurately diagnosed or treated in a timely manner.
Documentation must include a thorough assessment of the patient's injuries, mechanism of injury, and any immediate interventions performed.
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, fixation methods, and any complications encountered during the procedure.
Surgical repair of LeFort II fractures involving plate fixation or maxillomandibular advancement.
Documenting pre-operative imaging findings and post-operative outcomes is crucial for accurate coding.
Used during surgical repair of a LeFort II fracture.
Operative report must detail the surgical approach and fixation methods.
Ensure alignment with the diagnosis and document any complications.
The primary mechanism of injury for a LeFort II fracture is typically high-impact trauma, such as from motor vehicle accidents, falls, or physical assaults.
