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ICD-10 Guide
ICD-10 CodesS02.622

S02.622

Billable

Fracture of subcondylar process of left mandible

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

Code Description

ICD-10 S02.622 is a billable code used to indicate a diagnosis of fracture of subcondylar process of left mandible.

Key Diagnostic Point:

The subcondylar process of the mandible is a critical area where the mandible articulates with the temporal bone of the skull, forming the temporomandibular joint (TMJ). A fracture in this area can occur due to various mechanisms, including direct trauma from falls, sports injuries, or assaults. Symptoms typically include pain, swelling, and limited jaw movement, which can affect chewing and speaking. Diagnosis is primarily through clinical examination and imaging studies such as X-rays or CT scans to assess the fracture's extent and displacement. Management may involve conservative treatment with pain control and dietary modifications or surgical intervention for displaced fractures. Complications can include malocclusion, joint dysfunction, and infection. Accurate coding is essential for appropriate reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture presentation and severity
  • Need for precise documentation of laterality and specific location
  • Potential for associated injuries in the head and neck region
  • Differentiation from other mandibular fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify laterality
  • Misclassification of fracture type or location
  • Lack of imaging reports to support the diagnosis

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, physical examination findings, and any imaging results.

Common Clinical Scenarios

Patients presenting with facial trauma from accidents or assaults requiring immediate evaluation.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the diagnosis and coding.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any repairs performed.

Common Clinical Scenarios

Surgical management of displaced fractures requiring fixation or reconstruction.

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S02.622 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring that the code reflects the specific site and laterality of the fracture
  • Use additional codes for any associated injuries or complications

Exclusion Criteria

Do NOT use S02.622 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 required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure that the surgical approach and any fixation methods 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 accuracy of data collection and reimbursement processes. S02.622 provides detailed information about the fracture's location and laterality, which is crucial for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S02.622 provides detailed information about the fracture's location and laterality, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S02.622 provides detailed information about the fracture's location and laterality, which is crucial for treatment planning.

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 significance of coding the laterality of the fracture?

Coding the laterality is crucial as it affects treatment decisions and outcomes. It also ensures accurate data collection for epidemiological studies and reimbursement.