Fracture of ramus of left mandible
ICD-10 S02.642 is a billable code used to indicate a diagnosis of fracture of ramus of left mandible.
The fracture of the ramus of the left mandible refers to a break in the vertical portion of the mandible, which is crucial for the attachment of muscles involved in mastication and for the structural integrity of the jaw. This type of fracture can occur due to various mechanisms, including trauma from falls, sports injuries, or assaults. Clinical presentation typically includes pain, swelling, and difficulty in opening the mouth (trismus). Diagnosis is confirmed through imaging studies, primarily X-rays or CT scans, which help in assessing the fracture's location and displacement. Management often involves conservative treatment with pain control and dietary modifications, or surgical intervention in cases of significant displacement or instability. Complications may include malocclusion, infection, or nonunion of the fracture. Accurate coding is essential for proper reimbursement and tracking of injury patterns.
Documentation must include details of the injury mechanism, initial assessment findings, and any imaging performed.
Patients presenting with facial trauma after a motor vehicle accident or sports injury.
Ensure that the mechanism of injury is clearly documented to support the diagnosis and coding.
Operative reports should detail the surgical approach, fixation methods, and any complications encountered.
Surgical repair of a displaced fracture requiring fixation plates or screws.
Document any pre-existing conditions that may affect healing or surgical outcomes.
Used when surgical intervention is performed for a fracture of the mandible.
Operative report detailing the procedure, fixation method, and any complications.
Ensure that the surgical approach is clearly documented to support the procedure code.
Specifying laterality is crucial as it affects treatment decisions and reimbursement. It ensures accurate tracking of injury patterns and outcomes.
