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ICD-10 Guide
ICD-10 CodesS02.610

S02.610

Billable

Fracture of condylar process of mandible, unspecified side

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

Code Description

ICD-10 S02.610 is a billable code used to indicate a diagnosis of fracture of condylar process of mandible, unspecified side.

Key Diagnostic Point:

The condylar process of the mandible is a critical component of the jaw that articulates with 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. Symptoms typically include pain, swelling, and limited jaw movement, which may lead to difficulty in chewing or speaking. Diagnosis is primarily through clinical examination and imaging studies, such as X-rays or CT scans, which help confirm the fracture and assess its displacement. Management often involves conservative treatment with pain control and dietary modifications, but surgical intervention may be necessary for displaced fractures to restore function and alignment. Complications can include malocclusion, TMJ dysfunction, and chronic pain if not properly managed. Accurate coding is essential for appropriate treatment reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified side may lead to ambiguity in treatment planning.
  • Differentiating between types of mandibular fractures can be challenging.
  • Requires understanding of associated injuries to the TMJ.
  • Documentation must clearly indicate the mechanism of injury.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the side of the fracture.
  • Misinterpretation of imaging results leading to incorrect coding.
  • Inconsistent documentation between emergency and surgical notes.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed notes on the mechanism of injury, initial assessment findings, and imaging results.

Common Clinical Scenarios

Patients presenting with facial trauma after a fall or accident.

Billing Considerations

Ensure that the side of the fracture is documented if known; otherwise, specify 'unspecified' clearly.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of a displaced condylar fracture.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S02.610 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring that the code reflects the specific nature of the fracture and any associated injuries
  • Use additional codes for complications or related conditions as necessary

Exclusion Criteria

Do NOT use S02.610 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21010CPT Code

Closed treatment of mandibular fracture

Clinical Scenario

Used when performing closed reduction of a condylar fracture.

Documentation Requirements

Operative report detailing the procedure and any imaging used.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the condylar fracture.

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 collection and enhancing the ability to track treatment outcomes and complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collection and enhancing the ability to track treatment outcomes and complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collection and enhancing the ability to track treatment outcomes and complications.

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 side of the condylar fracture?

Specifying the side is crucial for treatment planning and can impact surgical approaches, rehabilitation strategies, and overall patient outcomes.