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ICD-10 Guide
ICD-10 CodesS02.650

S02.650

Billable

Fracture of angle of mandible, unspecified side

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

Code Description

ICD-10 S02.650 is a billable code used to indicate a diagnosis of fracture of angle of mandible, unspecified side.

Key Diagnostic Point:

The fracture of the angle of the mandible is a common injury that typically occurs due to trauma, such as a fall, assault, or motor vehicle accident. The angle of the mandible is the area where the body of the mandible meets the ramus, and fractures here can lead to significant functional impairment, including difficulties with chewing, speaking, and maintaining oral hygiene. Clinical evaluation often includes a thorough history and physical examination, followed by imaging studies such as X-rays or CT scans to confirm the diagnosis and assess the extent of the fracture. Management may involve conservative treatment with pain control and dietary modifications or surgical intervention, depending on the fracture's complexity and displacement. Complications can include malunion, nonunion, infection, and damage to adjacent structures such as nerves and blood vessels. Accurate coding is essential for proper reimbursement and tracking of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality
  • Need for precise anatomical terminology
  • Potential for multiple fracture sites
  • Differentiation from other mandibular fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the side of the fracture
  • Misclassification of fracture type
  • Lack of imaging documentation

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the mechanism of injury, physical examination findings, and imaging results.

Common Clinical Scenarios

Patients presenting with facial trauma after a fall or assault, requiring immediate evaluation and management.

Billing Considerations

Ensure that the documentation clearly states the type of fracture and any associated injuries to support accurate coding.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of a displaced angle fracture requiring fixation with plates or screws.

Billing Considerations

Document any complications or additional procedures performed during surgery to ensure comprehensive coding.

Coding Guidelines

Inclusion Criteria

Use S02.650 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the specific injury and its location
  • Document the mechanism of injury and any associated conditions to support the code selection

Exclusion Criteria

Do NOT use S02.650 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

21010CPT Code

Open treatment of mandible fracture

Clinical Scenario

Used when surgical intervention is required for a fracture of the mandible.

Documentation Requirements

Operative report detailing the procedure performed, including fixation methods.

Specialty Considerations

Ensure that the surgical approach is clearly documented to support the procedure code.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collection and enhancing the ability to track injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collection and enhancing the ability to track injury patterns and outcomes.

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 is the difference between S02.650 and S02.651?

S02.650 is used for fractures of the angle of the mandible when the side is unspecified, while S02.651 is specifically for fractures on the left side.