Fracture of condylar process of mandible
ICD-10 S02.61 is a billable code used to indicate a diagnosis of fracture of condylar process of mandible.
The condylar process of the mandible is a critical anatomical structure that articulates with the temporal bone of the skull, forming the temporomandibular joint (TMJ). A fracture of this area can occur due to various mechanisms, including direct trauma from falls, motor vehicle accidents, or physical altercations. Symptoms typically include pain, swelling, limited jaw movement, and sometimes malocclusion. Diagnosis is primarily through clinical examination and imaging studies, such as X-rays or CT scans, which can reveal the extent and nature of the fracture. Management often involves conservative treatment with pain control and soft diet, but surgical intervention may be necessary for displaced fractures or those causing significant functional impairment. Complications can include nonunion, malocclusion, and TMJ dysfunction, which may require further surgical correction. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging performed.
Patients presenting with facial trauma after a fall or altercation, requiring immediate evaluation and imaging.
Ensure that all relevant injuries are documented to support the coding of S02.61 and any associated procedures.
Operative reports must detail the surgical approach, fixation methods used, and postoperative care plans.
Surgical repair of a displaced condylar fracture requiring open reduction and internal fixation.
Document any complications or additional procedures performed during surgery to ensure accurate coding.
Used when surgical intervention is required for a condylar process fracture.
Operative report detailing the procedure performed and any complications.
Ensure that the surgical approach is clearly documented to support the coding.
Typically, X-rays are the first step, but a CT scan may be necessary for a detailed assessment of the fracture.