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ICD-10 Guide
ICD-10 CodesS02.65

S02.65

Billable

Fracture of angle of mandible

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

Code Description

ICD-10 S02.65 is a billable code used to indicate a diagnosis of fracture of angle of mandible.

Key Diagnostic Point:

The angle of the mandible is a common site for fractures, often resulting from trauma such as falls, assaults, or vehicular accidents. This type of fracture can lead to significant complications, including malocclusion, nerve injury, and infection. Clinically, patients may present with pain, swelling, and difficulty in opening the mouth. The fracture may be classified as either a simple or compound fracture, depending on whether the skin is broken. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to assess the extent of the injury. Management may include conservative treatment with pain control and dietary modifications or surgical intervention for more severe cases. Surgical options may involve fixation with plates and screws to restore anatomical alignment. Complications can include nonunion, malunion, and temporomandibular joint dysfunction, necessitating careful follow-up and management.

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 polytrauma patients
  • Differentiation from other mandibular fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (e.g., open vs. closed)
  • Misclassification of fracture location
  • Lack of follow-up documentation for complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate coding of the injury mechanism and any concurrent injuries to avoid audit risks.

Surgery

Documentation Requirements

Operative reports must detail the surgical procedure, fixation methods, and any intraoperative findings.

Common Clinical Scenarios

Surgical repair of the mandible following trauma, including fixation techniques and postoperative care.

Billing Considerations

Document all surgical interventions and postoperative complications to support coding and billing.

Coding Guidelines

Inclusion Criteria

Use S02.65 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific site and type of fracture
  • Document the mechanism of injury and any associated conditions to support the code assignment

Exclusion Criteria

Do NOT use S02.65 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21121CPT Code

Open treatment of mandible fracture

Clinical Scenario

Used when surgical intervention is required for fracture fixation.

Documentation Requirements

Operative report detailing the procedure, fixation method, and any complications.

Specialty Considerations

Ensure that the surgical procedure aligns with the diagnosis for accurate billing.

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 the angle of the mandible, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the angle of the mandible, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the angle of the mandible, which enhances data accuracy and improves patient care tracking.

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 primary mechanism of injury for a fracture of the angle of the mandible?

The primary mechanisms include direct trauma from assaults, falls, or vehicular accidents, which can apply significant force to the jaw.