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ICD-10 Guide
ICD-10 CodesS02.631

S02.631

Billable

Fracture of coronoid process of right mandible

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

Code Description

ICD-10 S02.631 is a billable code used to indicate a diagnosis of fracture of coronoid process of right mandible.

Key Diagnostic Point:

The coronoid process of the mandible is a bony projection that serves as an attachment point for the temporalis muscle, which is crucial for chewing. A fracture of this area can occur due to various mechanisms, including direct trauma from falls, sports injuries, or motor vehicle accidents. Symptoms typically include pain, swelling, and limited jaw movement. Diagnosis is made through clinical examination and imaging studies, such as X-rays or CT scans, which can confirm the fracture and assess its severity. Management may involve conservative treatment with pain control and dietary modifications or surgical intervention in cases of displacement or significant functional impairment. Complications can include malocclusion, chronic pain, or temporomandibular joint dysfunction. Accurate coding is essential for proper reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology
  • Differentiation from other mandibular fractures
  • Potential for associated injuries in polytrauma cases
  • Need for precise documentation of mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify laterality (right vs. left)
  • Misclassification of fracture type (e.g., simple vs. complex)
  • Lack of imaging documentation to support diagnosis

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, clinical findings, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with facial trauma following a fall or altercation.

Billing Considerations

Ensure that all injuries are documented, especially in polytrauma cases, to support comprehensive coding.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any repairs or fixation methods used.

Common Clinical Scenarios

Surgical intervention for displaced fractures requiring fixation or reconstruction.

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S02.631 When
  • Follow the ICD
  • CM guidelines for coding fractures, ensuring accurate laterality and specificity regarding the type of fracture
  • Document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S02.631 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21010CPT Code

Closed treatment of mandible fracture

Clinical Scenario

Used when a closed reduction is performed for a coronoid process fracture.

Documentation Requirements

Document the procedure performed, including any imaging used to guide treatment.

Specialty Considerations

Ensure that the surgical approach is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including those of the coronoid process, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including those of the coronoid process, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including those of the coronoid process, which enhances data accuracy and improves patient care tracking.

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 significance of coding the coronoid process fracture accurately?

Accurate coding ensures appropriate reimbursement and helps in tracking injury patterns, which can inform treatment protocols and preventive measures.