Fracture of condylar process of left mandible
ICD-10 S02.612 is a billable code used to indicate a diagnosis of fracture of condylar process of left mandible.
The fracture of the condylar process of the mandible is a specific type of jaw injury that occurs at the uppermost part of the mandible, where it articulates with the temporal bone of the skull. This injury is often the result of trauma, such as a direct blow to the jaw, falls, or motor vehicle accidents. Symptoms typically include pain, swelling, and limited jaw movement, which can lead to difficulties in chewing and speaking. Diagnosis is primarily made through clinical examination and imaging studies, such as X-rays or CT scans, which help to confirm the fracture and assess its displacement. Management may involve conservative treatment with pain control and soft diet, or surgical intervention if the fracture is displaced or involves the joint. Complications can include malocclusion, temporomandibular joint dysfunction, and infection. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Documentation must include details of the mechanism of injury, initial assessment findings, and any imaging performed.
Patients presenting with facial trauma after a fall or assault, requiring immediate evaluation and imaging.
Ensure that the documentation reflects the urgency of the injury and any immediate interventions performed.
Operative reports must detail the surgical approach, findings, and any fixation methods used.
Surgical repair of a displaced condylar fracture following trauma.
Document any complications encountered during surgery and the rationale for surgical intervention.
Used when surgical intervention is required for a displaced condylar fracture.
Operative report detailing the procedure, findings, and any fixation methods used.
Ensure that the surgical approach is clearly documented to support the coding.
Specifying laterality is crucial for accurate coding and billing, as it affects treatment decisions and reimbursement. It also helps in tracking injury patterns and outcomes.
