Fracture of medial orbital wall
ICD-10 S02.83 is a billable code used to indicate a diagnosis of fracture of medial orbital wall.
A fracture of the medial orbital wall is a specific type of facial fracture that occurs in the bony structure surrounding the eye, particularly affecting the thin bone that forms the inner wall of the orbit. This injury is often the result of blunt trauma, such as from a sports injury, a fall, or a motor vehicle accident. The medial orbital wall is particularly susceptible to fractures due to its thinness and proximity to the nasal cavity. Symptoms may include pain, swelling, bruising around the eye, diplopia (double vision), and potential vision changes. Diagnosis typically involves a thorough clinical examination and imaging studies, such as CT scans, which can reveal the extent of the fracture and any associated injuries to the surrounding structures. Management may vary from conservative treatment, including observation and pain management, to surgical intervention if there is significant displacement or involvement of the eye muscles or optic nerve. Complications can include persistent diplopia, enophthalmos (sunken eye), or chronic pain. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
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 sports injury, often requiring immediate imaging.
Ensure that all symptoms, including visual disturbances, are documented to support the diagnosis.
Operative reports must detail the surgical approach, findings, and any repairs made to the orbital wall.
Surgical intervention for displaced fractures or those causing significant ocular symptoms.
Accurate coding of surgical procedures performed in conjunction with the fracture repair is essential.
Used when surgical intervention is performed for a medial orbital wall fracture.
Operative report detailing the procedure and findings.
Ensure that the surgical approach and any complications are documented.
Common causes include blunt trauma from sports injuries, falls, and motor vehicle accidents. The thin nature of the medial wall makes it particularly vulnerable.
