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ICD-10 Guide
ICD-10 CodesS02.600

S02.600

Billable

Fracture of unspecified part of body of mandible, unspecified side

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

Code Description

ICD-10 S02.600 is a billable code used to indicate a diagnosis of fracture of unspecified part of body of mandible, unspecified side.

Key Diagnostic Point:

The S02.600 code refers to a fracture of the mandible, which is the lower jawbone, but does not specify the exact location of the fracture or which side of the mandible is affected. Mandibular fractures can occur due to various mechanisms of injury, 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. Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to confirm the fracture and assess its severity. Management may include conservative treatment with pain control and dietary modifications or surgical intervention for more complex fractures. Complications can include malocclusion, infection, or nonunion of the fracture. Accurate coding is essential for proper reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified location of the fracture complicates coding specificity.
  • Potential for multiple fractures in the mandible requiring additional codes.
  • Variability in clinical presentation and management approaches.
  • Need for precise documentation to support the diagnosis.

Audit Risk Factors

  • Inadequate documentation of the fracture site.
  • Failure to specify the mechanism of injury.
  • Lack of imaging reports to support the diagnosis.
  • Coding based on incomplete clinical notes.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include details of the mechanism of injury, clinical findings, and any imaging performed.

Common Clinical Scenarios

Patients presenting with facial trauma after accidents or assaults.

Billing Considerations

Ensure that the documentation reflects the urgency of the injury and any immediate interventions performed.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, findings, and any fixation methods used.

Common Clinical Scenarios

Surgical repair of complex mandibular fractures requiring plates or screws.

Billing Considerations

Accurate coding of surgical procedures must align with the diagnosis of the fracture.

Coding Guidelines

Inclusion Criteria

Use S02.600 When
  • Follow ICD
  • CM guidelines for coding fractures, ensuring that the documentation supports the diagnosis and that the mechanism of injury is noted when applicable

Exclusion Criteria

Do NOT use S02.600 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20670CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in conjunction with mandibular fracture treatment when joint involvement is suspected.

Documentation Requirements

Document the indication for the procedure and any imaging findings.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the fracture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of fractures, improving specificity and enhancing data collection for injury patterns. However, the use of unspecified codes like S02.600 may lead to audit risks if not properly documented.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of fractures, improving specificity and enhancing data collection for injury patterns. However, the use of unspecified codes like S02.600 may lead to audit risks if not properly documented.

Reimbursement & Billing Impact

reimbursement.

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 should I document to support the use of S02.600?

Document the mechanism of injury, clinical findings, imaging results, and any treatment provided to ensure accurate coding and support for the unspecified nature of the fracture.