Fracture of condylar process of right mandible
ICD-10 S02.611 is a billable code used to indicate a diagnosis of fracture of condylar process of right mandible.
The condylar process of the mandible is a critical anatomical structure that connects the mandible to the temporal bone of the skull, forming the temporomandibular joint (TMJ). A fracture of this area can occur due to various mechanisms, including trauma from falls, motor vehicle accidents, sports injuries, or physical altercations. Clinically, patients may present with pain, swelling, and limited jaw movement, often accompanied by malocclusion or difficulty in chewing. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to confirm the fracture and assess its displacement. Management may include conservative treatment with pain control and soft diet or surgical intervention for displaced fractures. Complications can include nonunion, malocclusion, and TMJ dysfunction. Accurate coding is essential for proper reimbursement and tracking of injury patterns.
Documentation must include a detailed account of the mechanism of injury, clinical findings, and any imaging results.
Patients presenting with facial trauma after a fall or altercation.
Ensure that the documentation reflects the urgency of the injury and any immediate interventions performed.
Operative reports must detail the surgical approach, fixation methods, and any complications encountered during the procedure.
Surgical repair of a displaced condylar fracture.
Accurate coding of surgical procedures must align with the diagnosis to avoid discrepancies.
Used when surgical intervention is required for a condylar fracture.
Operative report detailing the procedure performed and any complications.
Ensure that the procedure is linked to the correct diagnosis for accurate billing.
Specifying laterality is crucial for accurate coding and billing, as it directly affects the treatment plan and potential surgical interventions.
