2021 ICD-10-CM Code S02.60

Fracture of mandible, unspecified

Version 2021

Not Valid for Submission

S02.60 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, unspecified. 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.

Unspecified diagnosis codes like S02.60 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.

ICD-10:S02.60
Short Description:Fracture of mandible, unspecified
Long Description:Fracture of mandible, unspecified

Code Classification

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

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.

Fractures are coded using the appropriate 7th character 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.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Specific Coding for Fracture of mandible, unspecified

Non-specific codes like S02.60 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fracture of mandible, unspecified:

  • NON-BILLABLE CODE - S02.600 for Fracture of unspecified part of body of mandible, unspecified side
  • BILLABLE CODE - Use S02.600A for initial encounter for closed fracture
  • BILLABLE CODE - Use S02.600B for initial encounter for open fracture
  • BILLABLE CODE - Use S02.600D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S02.600G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S02.600K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S02.600S for sequela
  • NON-BILLABLE CODE - S02.601 for Fracture of unspecified part of body of right mandible
  • BILLABLE CODE - Use S02.601A for initial encounter for closed fracture
  • BILLABLE CODE - Use S02.601B for initial encounter for open fracture
  • BILLABLE CODE - Use S02.601D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S02.601G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S02.601K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S02.601S for sequela
  • NON-BILLABLE CODE - S02.602 for Fracture of unspecified part of body of left mandible
  • BILLABLE CODE - Use S02.602A for initial encounter for closed fracture
  • BILLABLE CODE - Use S02.602B for initial encounter for open fracture
  • BILLABLE CODE - Use S02.602D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S02.602G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S02.602K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S02.602S for sequela
  • NON-BILLABLE CODE - S02.609 for Fracture of mandible, unspecified
  • BILLABLE CODE - Use S02.609A for initial encounter for closed fracture
  • BILLABLE CODE - Use S02.609B for initial encounter for open fracture
  • BILLABLE CODE - Use S02.609D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S02.609G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S02.609K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S02.609S for sequela

Information for Patients


Fractures

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. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Jaw Injuries and Disorders

Your jaw is a set of bones that holds your teeth. It consists of two main parts. The upper part is the maxilla. It doesn't move. The moveable lower part is called the mandible. You move it when you talk or chew. The two halves of the mandible meet at your chin. The joint where the mandible meets your skull is the temporomandibular joint.

Jaw problems include

Treatment of jaw problems depends on the cause.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)