ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS02.609

S02.609

Billable

Fracture of mandible, unspecified

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

Code Description

ICD-10 S02.609 is a billable code used to indicate a diagnosis of fracture of mandible, unspecified.

Key Diagnostic Point:

The S02.609 code refers to an unspecified fracture of the mandible, which is the lower jawbone that plays a crucial role in mastication and speech. Mandibular fractures can occur due to various mechanisms, including trauma from falls, motor vehicle accidents, sports injuries, or physical assaults. The clinical presentation may include pain, swelling, bruising, and difficulty in opening the mouth. Diagnosis typically involves a thorough clinical examination and imaging studies such as X-rays or CT scans to confirm the fracture and assess its location and severity. Management may vary from conservative treatment, such as pain control and dietary modifications, to surgical intervention for more complex fractures requiring fixation. Complications can include malocclusion, infection, or nonunion of the fracture. Accurate coding is essential for proper reimbursement and tracking of injury patterns in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations within the mandible
  • Need for precise documentation of mechanism of injury
  • Potential for multiple associated injuries requiring additional codes
  • Differentiation from other facial fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture when applicable
  • Misclassification of the fracture site
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include the mechanism of injury, clinical findings, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with facial trauma from accidents or assaults.

Billing Considerations

Ensure that all injuries are documented, including soft tissue injuries that may accompany the fracture.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of complex mandibular fractures requiring plates or screws.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S02.609 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring that the code reflects the specific nature of the fracture and any associated injuries
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use S02.609 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21026CPT Code

Open treatment of mandibular fracture

Clinical Scenario

Used when surgical intervention is performed for a mandibular fracture.

Documentation Requirements

Operative report detailing the procedure, fixation method, and any complications.

Specialty Considerations

Ensure that the surgical approach and any implants used are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collected on mandibular injuries. This specificity aids in better tracking of injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collected on mandibular injuries. This specificity aids in better tracking of injury patterns and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collected on mandibular injuries. This specificity aids in better tracking of injury patterns and outcomes.

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 should I document to support the use of S02.609?

Document the mechanism of injury, clinical findings, imaging results, and treatment provided. Ensure that any associated injuries are also noted.