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ICD-10 Guide
ICD-10 CodesS02.602

S02.602

Billable

Fracture of unspecified part of body of left mandible

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

Code Description

ICD-10 S02.602 is a billable code used to indicate a diagnosis of fracture of unspecified part of body of left mandible.

Key Diagnostic Point:

The S02.602 code refers to a fracture of the left mandible, specifically an unspecified part of the mandible. Mandibular fractures are common injuries that can occur due to various mechanisms, including trauma from falls, sports injuries, assaults, or vehicular accidents. The mandible, being the largest and strongest bone of the face, is susceptible to fractures, particularly in its body and angle regions. Clinical presentation may include pain, swelling, bruising, and difficulty in opening the mouth (trismus). Diagnosis typically involves a thorough clinical examination and imaging studies, such as X-rays or CT scans, to confirm the fracture and assess its extent. Management may range from conservative treatment with pain control and dietary modifications to surgical intervention for more complex fractures requiring fixation. Complications can include malocclusion, infection, and 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 nature of the fracture complicates treatment planning.
  • Variability in clinical presentation and management approaches.
  • Potential for multiple associated injuries requiring comprehensive documentation.
  • Need for precise imaging interpretation to confirm diagnosis.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the exact location of the fracture.
  • Lack of imaging reports to support the diagnosis.
  • Inconsistent coding of associated injuries.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include details of the mechanism of injury, clinical findings, and initial management.

Common Clinical Scenarios

Patients presenting with facial trauma after a fall or altercation.

Billing Considerations

Ensure that all relevant injuries are documented to support coding.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of a complex mandibular fracture requiring plates and screws.

Billing Considerations

Accurate coding of surgical procedures in conjunction with the fracture code is essential.

Coding Guidelines

Inclusion Criteria

Use S02.602 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring that the code reflects the specific site and nature of the injury
  • Use additional codes to capture any associated injuries or complications

Exclusion Criteria

Do NOT use S02.602 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 when managing complications such as joint effusion post-fracture.

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 specificity in coding fractures, improving the accuracy of injury tracking and management. S02.602 provides a framework for capturing left mandible fractures, although it may require additional codes for comprehensive documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding fractures, improving the accuracy of injury tracking and management. S02.602 provides a framework for capturing left mandible fractures, although it may require additional codes for comprehensive documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding fractures, improving the accuracy of injury tracking and management. S02.602 provides a framework for capturing left mandible fractures, although it may require additional codes for comprehensive documentation.

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 part of the mandible fractured?

Specifying the part of the mandible fractured is crucial for treatment planning, as different areas may require different management approaches and can have varying implications for healing and function.