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v1.0.0
ICD-10 Guide
ICD-10 CodesS02.63

S02.63

Billable

Fracture of coronoid process of mandible

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

Code Description

ICD-10 S02.63 is a billable code used to indicate a diagnosis of fracture of coronoid process of mandible.

Key Diagnostic Point:

The coronoid process of the mandible is a bony projection that serves as the attachment site for the temporalis muscle, which is crucial for jaw movement. A fracture of this area typically occurs due to trauma, such as a direct blow to the jaw or during a fall. It can also result from excessive force during activities like chewing or clenching. Clinically, patients may present with pain, swelling, and limited jaw movement. Diagnosis is confirmed through imaging studies, primarily X-rays or CT scans, which can reveal the fracture's location and extent. Management often involves conservative treatment, including pain management and dietary modifications, but surgical intervention may be necessary in cases of displacement or severe fractures. Complications can include malocclusion, chronic pain, or temporomandibular joint dysfunction if not properly managed. Accurate coding is essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of fractures
  • Need for precise documentation of mechanism of injury
  • Potential for associated injuries in the facial region
  • Differentiation from other mandibular fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (e.g., displaced vs. non-displaced)
  • Misidentification of the fracture site
  • Lack of imaging documentation 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, sports injuries, or assaults.

Billing Considerations

Ensure that all relevant injuries are documented to avoid undercoding or misclassification.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, fixation methods, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical repair of a displaced coronoid process fracture following trauma.

Billing Considerations

Documenting the surgical technique and post-operative care is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S02.63 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific site and type of fracture
  • Documentation must support the diagnosis and any associated injuries

Exclusion Criteria

Do NOT use S02.63 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 coronoid process fracture.

Documentation Requirements

Document the procedure details, including any imaging used for guidance.

Specialty Considerations

Emergency and surgical specialties should ensure accurate coding based on the treatment provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including those of the coronoid process, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including those of the coronoid process, which enhances the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common causes of a coronoid process fracture?

Common causes include direct trauma from sports injuries, falls, or physical altercations. Excessive force from bruxism can also lead to stress fractures.