Open bite of left cheek and temporomandibular area
ICD-10 S01.452 is a billable code used to indicate a diagnosis of open bite of left cheek and temporomandibular area.
An open bite of the left cheek and temporomandibular area refers to a laceration or puncture wound that penetrates the skin and underlying tissues in the left cheek and the area surrounding the temporomandibular joint (TMJ). This type of injury can occur due to various mechanisms, including animal bites, human bites, or trauma from blunt or sharp objects. Clinically, patients may present with pain, swelling, and bleeding in the affected area, along with potential difficulty in opening the mouth or chewing due to TMJ involvement. The injury may also lead to complications such as infection, scarring, or damage to the underlying structures, including nerves and blood vessels. Proper assessment and management are crucial to prevent long-term sequelae. Treatment typically involves wound care, possible surgical intervention for deeper lacerations, and antibiotics to prevent infection. Follow-up care is essential to monitor healing and address any complications that may arise.
Documentation must include a detailed description of the injury, mechanism of injury, and initial treatment provided.
Patients presenting with bite wounds from animals or humans, trauma from falls or accidents.
Ensure that all relevant details are captured, including any signs of infection or complications.
Operative reports should detail the surgical approach, findings, and any repairs made to the affected area.
Surgical intervention for deep lacerations or reconstruction of the TMJ area.
Document any additional procedures performed and the rationale for surgical intervention.
Used for repair of the open bite injury in the emergency department.
Document the size and location of the wound, type of repair performed.
Emergency medicine providers should ensure accurate coding based on the complexity of the repair.
An open bite involves a break in the skin with exposure of underlying tissues, while a closed bite does not penetrate the skin. Open bites require more extensive management due to the risk of infection and complications.
