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ICD-10 Guide
ICD-10 CodesS02.67

S02.67

Billable

Fracture of alveolus of mandible

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

Code Description

ICD-10 S02.67 is a billable code used to indicate a diagnosis of fracture of alveolus of mandible.

Key Diagnostic Point:

The fracture of the alveolus of the mandible refers to a break in the bony ridge of the lower jaw where the teeth are anchored. This type of fracture can occur due to various mechanisms, including trauma from falls, motor vehicle accidents, sports injuries, or physical altercations. Clinically, patients may present with pain, swelling, and difficulty in chewing or speaking. The fracture may also lead to dental complications, such as tooth mobility or loss. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to assess the extent of the fracture and any associated injuries. Management often includes pain control, stabilization of the fracture, and, in some cases, surgical intervention to realign the bone and secure it with plates or screws. Complications can include infection, nonunion or malunion of the fracture, and dental issues. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of fractures
  • Need for precise documentation of associated injuries
  • Potential for multiple codes due to dental involvement
  • 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 the fracture site
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the patient's history, mechanism of injury, and initial assessment findings.

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

Detailed operative notes including the type of fracture, surgical approach, and any hardware used.

Common Clinical Scenarios

Surgical repair of a fractured mandible with fixation plates.

Billing Considerations

Document any complications during surgery and postoperative care.

Coding Guidelines

Inclusion Criteria

Use S02.67 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring specificity in the location and type of fracture
  • Use additional codes for any associated dental injuries or complications

Exclusion Criteria

Do NOT use S02.67 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21010CPT Code

Closed treatment of mandible fracture

Clinical Scenario

Used when managing a fracture of the alveolus without surgical intervention.

Documentation Requirements

Document the method of treatment and any follow-up care.

Specialty Considerations

Emergency and surgical specialties may have different documentation needs.

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 primary cause of an alveolar fracture?

Alveolar fractures are primarily caused by trauma, including falls, sports injuries, and physical altercations.

How can I differentiate between an alveolar fracture and other mandibular fractures?

Alveolar fractures specifically involve the bony ridge where teeth are anchored, while other fractures may involve different parts of the mandible.