A This sounds like a panfacial fracture since it involves all 3 regions of the face, and it is not a LeFort. If it involves both sides of the face it would meet the definition of multiple and complex fractures for panfacial. If unilateral, you should code each fracture individually. If the frontal bone fractures are contiguous with the facial fractures you would not code them separately, but depending on how “complex” and extensive they are, you might need to code them additionally. Further description may make this equivalent to the descriptor we have for 150406.4? Frequently the radiologists call fractures complex when there are several of them, but they are not as severe as our code requires. As you can see coding complex facial fractures can be COMPLEX !!