Fracture of ramus of right mandible
ICD-10 S02.641 is a billable code used to indicate a diagnosis of fracture of ramus of right mandible.
The fracture of the ramus of the right mandible is a specific type of mandibular fracture that occurs in the vertical portion of the jawbone, which is crucial for the function of mastication and the structural integrity of the face. This injury often results from trauma, such as motor vehicle accidents, falls, or physical altercations. Patients may present with symptoms including pain, swelling, difficulty in opening the mouth (trismus), and malocclusion. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to confirm the fracture's location and extent. Management may include conservative treatment with pain control and dietary modifications or surgical intervention, such as open reduction and internal fixation, depending on the fracture's complexity and displacement. Complications can include nonunion, malunion, and infection, particularly in cases requiring surgical intervention. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Documentation must include a detailed account of the mechanism of injury, clinical findings, and any imaging results.
Patients presenting with facial trauma from accidents or assaults.
Ensure that the documentation reflects the urgency of care and any immediate interventions performed.
Operative reports must detail the surgical approach, fixation methods, and any intraoperative findings.
Surgical repair of displaced fractures requiring fixation.
Accurate coding of surgical procedures performed in conjunction with the fracture repair.
Used when surgical intervention is required for a displaced fracture.
Operative report detailing the procedure and fixation method.
Ensure that the surgical approach is clearly documented.
S02.641 refers specifically to a fracture of the ramus of the right mandible, while S02.640 refers to the left side. Accurate documentation of the side is crucial for correct coding.
