S02.622A Fracture of subcondylar process of left mandible, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Fracture of subcondylar process of left mandible, initial encounter for closed fracture
- Also known as subcondylar mandible fracture (closed), left side

#### Summary
- This condition refers to a break in the subcondylar process of the mandible (lower jaw) on the left side, classified as a closed fracture, indicating the skin over the bone remains unbroken.

#### Causes
- Typically caused by trauma to the jaw area such as a fall, sports injury, vehicle accident, or physical altercation.

#### Risk Factors
- Engaging in high-contact sports or activities
- Lack of protective gear like helmets or mouthguards
- Osteoporosis or conditions that weaken bones

#### Symptoms
- Pain and swelling around the jaw
- Difficulty opening or closing the mouth
- Misalignment of the teeth or bite
- Bruising or tenderness in the jaw area

#### Diagnosis
- Physical examination by a healthcare provider
- Imaging tests such as X-rays or CT scans to assess the extent of the fracture

#### Treatment Options
- Non-surgical: Immobilization with a bandage or splint, rest, pain management with medications
- Surgical: Open reduction and internal fixation if the fracture is displaced or does not respond to conservative treatments

#### Prognosis and Follow-Up
- With proper treatment, most patients recover well, returning to normal function.
- Follow-up appointments are crucial to monitor healing and to address any complications early.

#### Complications
- Potential for improper healing or misalignment
- Temporomandibular joint (TMJ) dysfunction
- Chronic pain or difficulty with jaw mobility if untreated

#### Lifestyle & Prevention
- Use protective gear during sports and other high-risk activities
- Avoid behaviors that increase the risk of facial trauma, such as physical altercations or risky driving

#### When to Seek Professional Help
- Seek immediate medical attention if experiencing severe pain, significant jaw misalignment, or inability to move the jaw.

#### Additional Resources
- American Dental Association (ADA)
- American Association of Oral and Maxillofacial Surgeons (AAOMS)

#### Tips for Medical Coders
- Ensure accurate laterality is included in coding (left side).
- Verify that the encounter is coded as “initial” and is for a “closed” fracture.
- Double-check for any concomitant conditions or injuries that may require additional codes.

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