LeFort III fracture
ICD-10 S02.413 is a billable code used to indicate a diagnosis of lefort iii fracture.
A LeFort III fracture is a type of craniofacial fracture that involves the separation of the facial skeleton from the cranial base. This fracture typically results from high-energy trauma, such as motor vehicle accidents, falls from heights, or physical assaults. The fracture pattern includes involvement of the zygomatic arch, maxilla, and nasal bones, leading to significant displacement and potential airway compromise. Clinically, patients may present with facial deformity, swelling, and ecchymosis, as well as possible neurological deficits due to associated head injuries. Diagnosis is primarily made through imaging studies, including CT scans, which provide detailed visualization of the fracture lines and any associated injuries. Management often requires surgical intervention to realign the facial structures and stabilize the fracture, with careful monitoring for complications such as infection, malocclusion, or further neurological impairment. Accurate coding for LeFort III fractures is essential for appropriate treatment planning and reimbursement.
Documentation must include mechanism of injury, initial assessment findings, and any interventions performed.
Patients presenting with facial trauma following accidents or assaults.
Ensure thorough documentation of neurological status and airway management.
Operative reports must detail the surgical approach, fixation methods, and any complications encountered.
Surgical repair of LeFort III fractures with potential reconstruction of facial structures.
Document any pre-existing conditions that may affect surgical outcomes.
Used during surgical intervention for LeFort III fractures.
Operative report detailing the procedure and fixation method.
Ensure alignment with surgical documentation for accurate billing.
LeFort III fractures typically result from high-energy trauma, such as motor vehicle accidents or severe physical assaults.
LeFort I fractures involve the maxilla, LeFort II fractures involve the maxilla and nasal bones, while LeFort III fractures involve complete separation of the facial skeleton from the cranial base.
