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v1.0.0
ICD-10 Guide
ICD-10 CodesS02.632

S02.632

Billable

Fracture of coronoid process of left mandible

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

Code Description

ICD-10 S02.632 is a billable code used to indicate a diagnosis of fracture of coronoid process of left 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 mastication. A fracture of the coronoid process, particularly on the left side, can occur due to various mechanisms, including direct trauma from a fall, motor vehicle accidents, or sports injuries. Symptoms typically include pain, swelling, and limited jaw movement, which can significantly impact a patient's ability to eat and speak. Diagnosis is primarily through clinical examination and imaging studies such as X-rays or CT scans, which can confirm the fracture and assess for any associated injuries. Management may involve conservative treatment with pain control and dietary modifications or surgical intervention in cases of displacement or significant functional impairment. Complications can include malocclusion, chronic pain, and temporomandibular joint dysfunction. Accurate coding is essential for proper reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the anatomical location (left coronoid process)
  • Potential for associated injuries in the mandible or surrounding structures
  • Variability in treatment approaches (conservative vs. surgical)
  • Need for precise documentation of mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify laterality (left vs. right)
  • Misclassification of fracture type (e.g., simple vs. complex)
  • Lack of imaging documentation to support diagnosis

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a thorough history of the injury, physical examination findings, and any imaging results.

Common Clinical Scenarios

Patients presenting with facial trauma after a fall or altercation.

Billing Considerations

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

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical intervention for displaced fractures requiring fixation.

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S02.632 When
  • Follow ICD
  • CM guidelines for coding fractures, ensuring that laterality and specific anatomical sites are accurately captured
  • Use additional codes for any associated injuries or complications

Exclusion Criteria

Do NOT use S02.632 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21010CPT Code

Closed treatment of mandible fracture

Clinical Scenario

Used when a closed reduction is performed for a coronoid process fracture.

Documentation Requirements

Document the procedure performed, including any imaging used to guide treatment.

Specialty Considerations

Ensure that the surgical approach and any complications are noted.

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.

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.

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 is the significance of coding the coronoid process fracture specifically?

Coding the fracture specifically allows for accurate tracking of injury patterns and appropriate reimbursement for treatment provided.