ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS02.69

S02.69

Billable

Fracture of mandible of other specified site

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

Code Description

ICD-10 S02.69 is a billable code used to indicate a diagnosis of fracture of mandible of other specified site.

Key Diagnostic Point:

The S02.69 code refers to fractures of the mandible that occur at sites not specifically classified under other codes. Mandibular fractures can result from various mechanisms, including trauma from falls, motor vehicle accidents, sports injuries, or physical assaults. The mandible is the largest and strongest bone of the face, and fractures can lead to significant complications, including malocclusion, infection, and damage to surrounding structures such as nerves and blood vessels. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or CT scans, and assessment of the patient's history to determine the mechanism of injury. Management may include conservative treatment with pain control and dietary modifications or surgical intervention for more complex fractures. Accurate coding is essential for proper reimbursement and tracking of injury patterns in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture location and type
  • Need for precise documentation of injury mechanism
  • Potential for multiple associated injuries
  • Differentiation from other facial fractures

Audit Risk Factors

  • Inadequate documentation of fracture site
  • Failure to specify mechanism of injury
  • Incorrect coding of associated injuries
  • Misinterpretation of imaging results

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 after a fall or altercation, requiring immediate evaluation and imaging.

Billing Considerations

Ensure that all relevant injuries are documented to support coding for multiple trauma cases.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, fixation methods, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical repair of complex mandibular fractures, including the use of plates and screws.

Billing Considerations

Document any pre-existing conditions that may affect healing or surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S02.69 When
  • Follow the official ICD
  • CM coding guidelines, ensuring specificity in the documentation of the fracture site and mechanism of injury
  • Use additional codes as necessary to capture associated injuries or complications

Exclusion Criteria

Do NOT use S02.69 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21121CPT Code

Open treatment of mandibular fracture

Clinical Scenario

Used when surgical intervention is required for fracture repair.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure that the surgical approach and fixation method are clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of mandibular fractures, improving the granularity of data collected for epidemiological studies and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of mandibular fractures, improving the granularity of data collected for epidemiological studies and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of mandibular fractures, improving the granularity of data collected for epidemiological studies and treatment outcomes.

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 importance of specifying the site of the mandibular fracture?

Specifying the site is crucial for accurate coding, treatment planning, and understanding the potential complications associated with different fracture locations.