Open bite of oral cavity
ICD-10 S01.552 is a billable code used to indicate a diagnosis of open bite of oral cavity.
An open bite of the oral cavity refers to a type of injury characterized by a gap between the upper and lower teeth when the mouth is closed, resulting in an inability to occlude properly. This injury can occur due to various mechanisms, including trauma from falls, sports injuries, or accidents involving sharp objects. Open bites can lead to significant pain, swelling, and potential complications such as infection or damage to surrounding tissues. Clinically, patients may present with bleeding, difficulty in chewing or speaking, and visible lacerations or punctures in the oral mucosa. Diagnosis typically involves a thorough clinical examination, possibly supplemented by imaging studies to assess the extent of the injury and rule out fractures or foreign bodies. Management may include wound care, pain control, and in some cases, surgical intervention to repair the damaged tissues. The prognosis is generally good with appropriate treatment, although complications can arise if the injury is not managed properly.
Documentation must include a detailed account of the injury mechanism, initial assessment findings, and any immediate interventions performed.
Patients presenting with facial trauma from falls or sports injuries, requiring urgent care.
Ensure that all relevant details about the injury and treatment are captured to support the coding.
Operative reports must detail the surgical procedure performed, including any repairs or debridement of the wound.
Surgical intervention for severe lacerations or fractures associated with open bites.
Accurate coding requires clear documentation of the surgical approach and any complications encountered.
Used when surgical intervention is performed for an open bite.
Operative report detailing the procedure performed.
Ensure that the procedure is well-documented to support the use of this unlisted code.
An open bite involves a break in the skin or mucosa, while a closed bite does not penetrate the skin, resulting in no open wound.
