Q&A: Specificity required for reporting of an orbital fracture in ICD-10-CM

Article Overview

This article addresses ICD-10-CM coding documentation questions related to orbital fractures and the level of anatomic specificity needed in the record. It explains the general context of the FY 2020 ICD-10-CM update, why some fracture documentation may warrant provider clarification, and how unspecified injury detail is handled at a high level. The piece is useful for coders, CDI staff, and HIM professionals working with trauma documentation and ICD-10-CM code selection.