S02.31XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Fracture of orbital floor, right side, init The 2021 edition of ICD-10-CM S02.31XA became effective on October 1, 2020.
Short description: Fracture NOS-closed. ICD-9-CM 829.0 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 829.0 should only be used for claims with a date of service on or before September 30, 2015.
Isolated orbital floor fracture. Orbital floor fracture, also known as “blowout” fracture of the orbit. A "blowout Fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact.
Most orbital floor defects can be repaired with synthetic implants composed of porous polyethylene, silicone, metallic rigid miniplates, Vicryl mesh, resorbable materials, or metallic mesh. Autogenous bone from the maxillary wall or the calvaria can be used, as can nasal septum or conchal cartilage.
31XA for Fracture of orbital floor, right side, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Orbital floor fracture This is when a blow or trauma to the orbital rim pushes the bones back, causing the bones of the eye socket floor buckle to downward. This fracture can also affect the muscles and nerves around the eye, keeping it from moving properly and feeling normal.
The orbital floor is the shortest of all the walls; it does not reach the orbital apex, measures 35-40 mm, and terminates at the posterior edge of the maxillary sinus. The bones that contribute to the structure of the orbit.
ICD-10 Code for Fracture of orbital floor, left side, initial encounter for closed fracture- S02. 32XA- Codify by AAPC.
A blowout fracture is an isolated fracture of the orbital walls without compromise of the orbital rims. [3] The common mechanisms are falls, high-velocity ball-related sports, traffic accidents, and interpersonal violence.
An orbital fracture occurs when one or more of the bones around the eyeball break, often caused by a hard blow to the face. To diagnose a fracture, ophthalmologists examine the eye and surrounding area. X-ray and computed tomography scans may also be taken.
Fractures of the orbital floor are common: it is estimated that about 10% of all facial fractures are isolated orbital wall fractures (the majority of these being the orbital floor), and that 30-40% of all facial fractures involve the orbit.
The anterior edge of the bony orbit, or eye socket, formed by the maxilla and zygomatic bone inferiorly and the frontal bone superiorly.
A blow-out fracture occurs when a blow to the eye increases pressure in the orbit, causing the weak floor or the medial wall (lamina papyracea) to "blow out" into the maxillary sinus or ethmoid bone. [4, 5, 6, 7, 8, 9, 10] This results in a fracture, although it often prevents globe rupture and loss of the eye.
W19.XXXAUnspecified fall, initial encounter W19. XXXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM W19.
The ICD code S023 is used to code Facial trauma. Facial trauma, also called maxillofacial trauma, is any physical trauma to the face. Facial trauma can involve soft tissue injuries such as burns, lacerations and bruises, or fractures of the facial bones such as nasal fractures and fractures of the jaw, as well as trauma such as eye injuries.
Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the shape of facial structures. Specialty: Emergency Medicine. 1865 illustration of a private injured in the American Civil War by a shell two years previously. Source: Wikipedia.
Prevention of an orbital floor fracture is only possible by preventing blunt trauma to the midface. The use of proper eye and/or face protection for sports can prevent some sports related fractures.
Immediately after an orbital floor fracture, the affected eye may have impaired motility, resulting in double vision. The eye may be proptotic or enophthalmic, depending on the amount of edema (causing proptosis) and the size of the fracture (larger fractures leading to enophthalmos).
The inferior orbital neurovascular bundle (comprising the infraorbital nerve and artery) courses within the bony floor of the orbit; the roof of this infraorbital canal is only 0.23mm thick, and the bone of the posterior medial orbital floor averages 0.37 mm thick.
However, since most cases with less severe dysmotility resolve without intervention, it is prudent to wait at least 14 days to repair an isolated orbital floor fracture, especially if improvement in motility is seen in the first week after the injury.
Fractures of the orbital floor are common: it is estimated that about 10% of all facial fractures are isolated orbital wall fractures (the majority of these being the orbital floor), and that 30-40% of all facial fractures involve the orbit. The anatomy of the orbital floor predisposes it to fracture.
The increased orbital pressure simultaneously fractures the bony floor and pushes the bone fragment downward, displacing the bone into the maxillary sinus, along with soft tissue from the orbit.
A "blowout Fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact.
Orbital floor fractures may result when a blunt object, which is of equal or greater diameter than the orbital aperture, strikes the eye or on the cheek 1) . Getting hit with a baseball or a fist often causes a orbital blowout fracture.
Orbital floor fracture repair complications. As with any surgical procedure, bleeding, infection, and the need for additional surgery are risks. The possible loss of vision is the most ominous complication associated with floor repair.
Tessier described vertical osteotomy of an intact orbital rim for exposure of the orbital floor. This osteotomy is essentially 2 vertical osteotomies on either side of the infraorbital foramen conjoined by a horizontal osteotomy. Two osteotomies of the orbital floor originating at the inferior rim and extending past the infraorbital groove origins are created, allowing for removal of this segment, which can be replaced at the conclusion of surgery.
However, since cases with less severe dysmotility often resolve without intervention, it is often prudent to wait at least 10-14 days to repair an orbital floor fracture, especially if improvement in motility is seen in the first week after the injury.
Medical therapy. Medical treatment is warranted for patients for whom surgery is not indicated. This may include patients who present without significant enophthalmos (2 mm or more), a lack of marked hypo-ophthalmus, absence of an entrapped muscle or tissue, a fracture less than 50% of the floor, or a lack of diplopia.
The adult orbital floor is composed of the maxillary, zygomatic, and palatine bones. The orbital floor is the shortest of all the walls; it does not reach the orbital apex, measures 35-40 mm, and terminates at the posterior edge of the maxillary sinus.
Lateral to the orbital canal lies the superior orbital fissure housing cranial nerves III, IV, V, and VI. The zygomatic bone forms the lateral wall. Superior and inferior borders are the frontal and maxillary bone. The adult orbital floor is composed of the maxillary, zygomatic, and palatine bones.
S02.30 is a non-billable ICD-10 code for Fracture of orbital floor, unspecified side. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
NEC Not elsewhere classifiable#N#This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.