ICD-10 Coding for Mandibular Fracture(S02.66XA, S02.641B)
Complete ICD-10-CM coding and documentation guide for Mandibular Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mandibular Fracture
S02.6-Primary Range
Fracture of mandible
This range includes all specific codes for fractures of different parts of the mandible.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S02.66XA | Fracture of symphysis of mandible, initial encounter for closed fracture | Use for initial encounter of a closed fracture at the symphysis of the mandible. |
|
| S02.641B | Fracture of right ramus of mandible, initial encounter for open fracture | Use for initial encounter of an open fracture at the right ramus of the mandible. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for mandibular fracture
Essential facts and insights about Mandibular Fracture
Primary ICD-10-CM Codes for mandibular fracture
Decision Criteria
clinical Criteria
- CT confirms non-displaced fracture at mandibular symphysis
Applicable To
- Closed fracture of mandibular symphysis
Excludes
- Open fracture of mandibular symphysis
Clinical Validation Requirements
- CT confirms non-displaced fracture at mandibular symphysis with intact overlying mucosa
Code-Specific Risks
- Ensure correct laterality and encounter type are documented.
Coding Notes
- Ensure to document the specific site and encounter type to avoid unspecified codes.
S02.641B - Fracture of right ramus of mandible, initial encounter for open fracture
Use for initial encounter of an open fracture at the right ramus of the mandible.
Applicable To
- Open fracture of right mandibular ramus
Excludes
- Closed fracture of right mandibular ramus
Clinical Validation Requirements
- Laceration over right ramus with bone exposure; panoramic radiograph shows comminuted fracture
Coding Notes
Document open fracture details and ensure correct laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mandibular Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S02.66XA.
Impact
Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document the side of the fracture., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Always document and code the specific site of the fracture.
Impact
Risk of audits due to use of unspecified codes.
Mitigation Strategy
Use specific codes and ensure complete documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Mandibular Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mandibular Fracture
Use these documentation templates to ensure complete and accurate documentation for Mandibular Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for mandibular fracture
Specialty: Emergency MedicineRequired Elements
- Physical exam findings
- Imaging results
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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