Fracture of mandible of other specified site, initial encounter for open fracture. S02.69XB is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S02.69XB became effective on October 1, 2018.
· S02.609A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Fracture of mandible, unsp, init encntr for closed fracture. The 2022 edition of ICD-10-CM S02.609A became effective on October 1, …
· 2022 ICD-10-CM Diagnosis Code S02.6 Fracture of mandible 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code S02.6 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM S02.6 became effective on October 1, 2021.
· S02.609B is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Fracture of mandible, unsp, init encntr for open fracture The 2022 edition of ICD-10-CM S02.609B became effective on October 1, 2021.
· Fracture of symphysis of mandible, initial encounter for closed fracture. S02.66XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S02.66XA became effective on October 1, 2021.
Mandibular fractures can be classified in relation to their anatomic localisation (Fig. 1) as follows: symphysis/parasymphysis (30–50%), horizontal branch (21–36%), angle (15–26%), ramus (2–4%), condyle (20–26%), and coronoid process (1–2%).
Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. It may result in a decreased ability to fully open the mouth.
In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.
skullThe mandible is the largest bone in the human skull. It holds the lower teeth in place, it assists in mastication and forms the lower jawline. The mandible is composed of the body and the ramus and is located inferior to the maxilla.
ICD-10 | Jaw pain (R68. 84)
The general consensus is to use the fracture care codes designated as “closed treatment without manipulation” and bill the initial E/M with modifier 57.
Fractures are coded using the appropriate 7th character extension for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Traumatic fractures are classified to ICD-9-CM categories 800 to 829. The three-digit category code identifies the bone involved, with the fifth digit specifying which part of the bone, if needed. The fourth digit identifies whether the fracture was open or closed.
Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the shape of facial structures. Specialty: Emergency Medicine. 1865 illustration of a private injured in the American Civil War by a shell two years previously. Source: Wikipedia.
Facial trauma, also called maxillofacial trauma, is any physical trauma to the face. Facial trauma can involve soft tissue injuries such as burns, lacerations and bruises, or fractures of the facial bones such as nasal fractures and fractures of the jaw, as well as trauma such as eye injuries.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.
S02.6 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of mandible. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S02.6:
S02.609A is a billable diagnosis code used to specify a medical diagnosis of fracture of mandible, unspecified, initial encounter for closed fracture. The code S02.609A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S02.609A might also be used to specify conditions or terms like closed fracture of left mandible, closed fracture of right mandible, displaced fracture of mandible, fracture of mandible, fracture of mandible, closed , mandibular displacement, etc.#N#S02.609A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like fracture of mandible unspecified for closed fracture. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.#N#Unspecified diagnosis codes like S02.609A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.#N#The code S02.609A is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Emergency Medicine: Emergency Department Utilization Of Ct For Minor Blunt Head Trauma For Patients Aged 2 Through 17 Years.
Also called: Broken bone. A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones.
Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones.
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S02.609A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.