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ICD-10 Guide
ICD-10 CodesS02.601

S02.601

Billable

Fracture of unspecified part of body of right mandible

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S02.601 is a billable code used to indicate a diagnosis of fracture of unspecified part of body of right mandible.

Key Diagnostic Point:

The S02.601 code refers to a fracture of the right mandible, specifically an unspecified part of the mandible. Mandibular fractures are common injuries that can occur due to various mechanisms, including trauma from falls, motor vehicle accidents, sports injuries, or assaults. The mandible, being the largest and strongest bone of the face, is susceptible to fractures, particularly in its body and angle regions. Clinical presentation may include pain, swelling, bruising, and difficulty in chewing or speaking. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to assess the extent and location of the fracture. Management may range from conservative treatment, such as pain control and dietary modifications, to surgical intervention for more complex fractures. Complications can include malocclusion, infection, and nonunion of the fracture. Accurate coding is essential for proper reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture location and type
  • Need for precise documentation of injury mechanism
  • Potential for multiple associated injuries
  • Differentiation from other facial fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact location of the fracture
  • Coding without supporting imaging results
  • Inconsistent documentation between providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation should include details of the injury mechanism, clinical findings, and initial management.

Common Clinical Scenarios

Trauma patients presenting with facial injuries after falls or accidents.

Billing Considerations

Ensure that all relevant injuries are documented to avoid undercoding.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, fixation methods, and any complications encountered.

Common Clinical Scenarios

Patients requiring surgical intervention for complex mandibular fractures.

Billing Considerations

Document any pre-existing conditions that may affect healing or surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S02.601 When
  • Follow the ICD
  • CM guidelines for coding injuries, ensuring that the mechanism of injury is documented
  • Use additional codes for associated injuries or complications as necessary

Exclusion Criteria

Do NOT use S02.601 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21010CPT Code

Closed treatment of mandibular fracture

Clinical Scenario

Used when a closed reduction is performed for a right mandible fracture.

Documentation Requirements

Document the procedure details, including any imaging used.

Specialty Considerations

Emergency and surgical specialties should ensure accurate linkage between diagnosis and procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and facilitating better patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and facilitating better patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and facilitating better patient care management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the importance of specifying the fracture location?

Specifying the fracture location is crucial for accurate coding, treatment planning, and understanding the potential complications associated with different fracture types.