S02.611A — Fracture of Condylar Process of Right Mandible, Initial Encounter for Closed Fracture

Code Overview

S02.611A is a billable ICD-10-CM diagnosis code for fracture of the condylar process of the right mandible, initial encounter for closed fracture. It belongs to the S02.61 subcategory (Fracture of condylar process of mandible) within S02.6 (Fracture of mandible), under Chapter 19 (Injury, Poisoning and Certain Other Consequences of External Causes, S00-T88).

The 7th character “A” designates the initial encounter — meaning the patient is actively receiving evaluation and treatment for this traumatic fracture. The closed designation means there is no communicating external wound at the fracture site; the fracture is not exposed to the external environment.

Condylar process fractures of the mandible are among the most common mandibular fractures encountered in oral and maxillofacial surgery practice and emergency medicine, representing 25-35% of all mandibular fractures. The right-side specificity makes S02.611A the correct code when imaging and clinical documentation confirm the right condylar process is involved.

Full Code Description

Element	Detail
Full Code	S02.611A
Description	Fracture of condylar process of right mandible, initial encounter for closed fracture
Fracture Type	Closed (no communicating external wound)
Laterality	Right
7th Character	A = initial encounter for closed fracture
Billable	Yes
Chapter	19 — Injury, Poisoning and Certain Other Consequences of External Causes
Block	S00-S09 — Injuries to the head
Category	S02 — Fracture of skull and facial bones
Subcategory	S02.6 — Fracture of mandible
Sub-subcategory	S02.61 — Fracture of condylar process of mandible
Code Also	Any associated intracranial injury (S06.-)
Valid FY	FY2025 (Oct 1, 2024 - Sep 30, 2025)

Clinical Description

Anatomy of the Mandibular Condylar Process

The condylar process (also called the condyle or condylar head) is the superior projection of the mandibular ramus that articulates with the glenoid fossa of the temporal bone to form the temporomandibular joint (TMJ). The condylar process consists of:

Condylar head — the rounded articular surface that sits within the glenoid fossa
Condylar neck — the narrower column of bone below the head, the most common fracture site due to its mechanical vulnerability
Subcondylar region — the area just below the condylar neck, above the sigmoid notch; a distinct anatomical zone with specific fracture patterns

The mandibular condyle serves critical biomechanical functions:

Hinge and translational movements during mastication and speech
Load-bearing joint (one of the most loaded joints in the body during chewing)
Growth center in children and adolescents — condylar fractures in pediatric patients carry distinct long-term implications for facial growth

Fracture Patterns and Classification

Condylar fractures are classified by anatomical level, displacement, and relationship between fragments:

By Anatomical Level:

Condylar head (intracapsular) — fracture within the TMJ capsule; involves articular surface; high risk of ankylosis, avascular necrosis, and long-term joint dysfunction
Condylar neck — most common; fracture at the neck between the condylar head and ramus; commonly displaced or angulated
Subcondylar — fracture below the condylar neck; higher on the ramus; often managed surgically due to better surgical access and mechanical stability needs

By Displacement:

Non-displaced — fragments in anatomical position; favorable for conservative management
Displaced — fragments deviated from normal alignment; may require reduction
Deviated — condylar head tilted medially (most common direction, pulled by the lateral pterygoid muscle)
Dislocated — condylar head completely out of the glenoid fossa; more severe, often requires open reduction
Fractured and dislocated medially — severe displacement through the medial wall of the glenoid fossa

Mechanism of Injury

Condylar process fractures most commonly result from indirect force transmission — force applied to the chin or symphysis region is transmitted along the mandible to the condylar region (the weakest structural link). Direct blows to the condylar region also occur.

Common mechanisms:

Falls — most common overall cause; particularly falls onto the chin (mentum)
Motor vehicle accidents (MVA) — direct dashboard or steering wheel impact; often bilateral condylar fractures
Assault — direct blows to the jaw or chin
Sports injuries — contact sports, cycling crashes
Pediatric: Falling from bicycles, playground equipment — child’s condylar fractures are biomechanically distinct due to growth cartilage involvement

Clinical Signs and Symptoms

Examination findings in right condylar fracture:

Malocclusion — the most important clinical sign; premature posterior occlusal contact on the right (ipsilateral to fracture) with open bite on the left; deviation of the mandible to the right on opening
Deviation on mouth opening — the mandible deviates toward the fractured (right) side on opening due to loss of normal condylar translation
Preauricular pain and swelling — right preauricular tenderness, swelling, and hematoma
Limited mouth opening (trismus) — pain-limited opening; may be due to muscle spasm, hematoma, or mechanical block
Hemarthrosis of the right TMJ — blood within the joint capsule causing swelling and pain
Ear pain or fullness — due to proximity of the condyle to the external auditory meatus; blood may track into the ear canal
Chin laceration — suggests indirect mechanism (fall on chin → force transmitted to condyle); look for concomitant contralateral condylar fracture or parasymphyseal fracture
Facial nerve proximity — the facial nerve passes near the condylar region; rarely injured in closed condylar fractures but at risk during surgical approaches

Diagnosis

Panoramic radiograph (panorex/OPG) — first-line imaging; excellent overview of the entire mandible; may miss highly comminuted or medially displaced condylar head fractures
CT maxillofacial with 3D reconstruction — gold standard for surgical planning; defines fracture level, angulation, displacement, and dislocation accurately
CBCT (cone beam CT) — used in oral surgery offices for high-resolution mandibular imaging
Plain films (PA mandible, Towne’s view) — adjunct; less detailed than CT

Treatment Options

Treatment is dictated by fracture level, degree of displacement, dislocation, patient age, occlusal status, and associated injuries:

Conservative (closed) management:

Soft diet and function (for non-displaced or minimally displaced fractures)
Maxillomandibular fixation (MMF) — wiring the teeth together (arch bars or IMF screws) to allow functional loading of the fracture; typically 2-4 weeks
Early mobilization protocols — physiotherapy to prevent TMJ stiffness and ankylosis

Open (surgical) management:

Indicated for: significant displacement, dislocation, open bite deformity, bilateral fractures causing functional compromise, foreign body in joint, pediatric patients in select situations
Open reduction and internal fixation (ORIF) — via retromandibular, preauricular, or transparotid approach; titanium miniplates and screws
Endoscopic-assisted ORIF — minimally invasive approach through intraoral or small external incisions; growing in adoption
Arthroplasty/condylectomy — for severely comminuted intracapsular fractures or ankylosis cases

7th Character Table

7th Char	Full Code	Description	When to Use
A	S02.611A	Initial encounter — closed fracture	Active treatment; ED visit, admission, surgery, any provider during active care
B	S02.611B	Initial encounter — open fracture	Fracture with external communicating wound (e.g., intraoral laceration over fracture site)
D	S02.611D	Subsequent encounter — routine healing	Follow-up during normal fracture healing
G	S02.611G	Subsequent encounter — delayed healing	Healing slower than expected
K	S02.611K	Subsequent encounter — nonunion	Fracture fails to unite
S	S02.611S	Sequela	Late effects (e.g., chronic TMJ dysfunction, ankylosis, malocclusion)

Note

Open vs. closed — condylar fracture nuance: An intraoral laceration overlying the mandibular fracture line makes it an open fracture (code S02.611B). This is clinically important because open mandibular fractures carry a significantly higher infection risk (exposed to oral flora) and require antibiotic prophylaxis and often more aggressive surgical management.

Code Structure / Code Tree

S00-T88    Injury, poisoning and certain other consequences of external causes
  └── S00-S09    Injuries to the head
        └── S02    Fracture of skull and facial bones
              ├── S02.0    Fracture of vault of skull
              ├── S02.1    Fracture of base of skull
              ├── S02.2    Fracture of nasal bones
              ├── S02.3    Fracture of orbital floor
              ├── S02.4    Malar, maxillary, and zygomatic fractures
              ├── S02.5    Fracture of tooth
              ├── S02.6    Fracture of mandible    ◄ PARENT CATEGORY
              │     ├── S02.60    Fracture of unspecified part of body of mandible
              │     ├── S02.61    Fracture of condylar process of mandible    ◄ SUBCATEGORY
              │     │     ├── S02.610    ... unspecified side
              │     │     │     ├── [[S02.610A]]    ... initial, closed
              │     │     │     └── [[S02.610B]]    ... initial, open
              │     │     ├── S02.611    ... right mandible    ◄ PARENT (non-billable)
              │     │     │     ├── S02.611A    ... initial encounter, closed    ◄ THIS CODE
              │     │     │     ├── S02.611B    ... initial encounter, open
              │     │     │     ├── S02.611D    ... subsequent, routine healing
              │     │     │     ├── S02.611G    ... subsequent, delayed healing
              │     │     │     ├── S02.611K    ... subsequent, nonunion
              │     │     │     └── S02.611S    ... sequela
              │     │     └── S02.612    ... left mandible
              │     │           ├── [[S02.612A]]    ... initial encounter, closed
              │     │           └── [[S02.612B]]    ... initial encounter, open
              │     ├── S02.62    Fracture of subcondylar process of mandible
              │     │     ├── S02.621    ... right
              │     │     └── S02.622    ... left
              │     ├── S02.63    Fracture of coronoid process of mandible
              │     ├── S02.64    Fracture of ramus of mandible
              │     ├── S02.65    Fracture of angle of mandible
              │     ├── S02.66    Fracture of symphysis of mandible
              │     ├── S02.67    Fracture of alveolus of mandible
              │     └── S02.69    Fracture of mandible, other specified site
              ├── S02.8    Fractures of other skull and facial bones
              └── S02.9    Fracture of skull and facial bones, part unspecified

Tip

S02.611 vs S02.621 — condylar vs subcondylar: These are anatomically distinct and separately coded in ICD-10-CM. The condylar process (S02.611) refers to the condylar head and neck; the subcondylar process (S02.621) refers to the region just below the condylar neck. When imaging identifies the fracture specifically as subcondylar, code S02.621A (right) instead.

Includes / Excludes Notes

Includes (S02.6 — Fracture of Mandible)

Fractures of the mandible in any anatomical subdivision listed under S02.6-
Open and closed variants as specified by 7th character
Pathological fractures of the mandible not addressed here — see M84.58-

Excludes2 (S02 Category — May Code Additionally If Present)

These conditions are not included in S02 but may exist simultaneously with S02.611A and be coded additionally:

Code	Description	Coding Note
S03.0-	Dislocation of jaw	If TMJ dislocation coexists with or results from the condylar fracture
S04.5-	Injury of facial nerve	If CN VII injury is documented from the fracture or surgical approach
S09.1-	Injury of muscles and tendons of head	Pterygoid muscle injury, masseter disruption
S00.8-	Superficial injury of head	Chin laceration, abrasion
S01.8-	Open wound of head	If an open wound is also present

Code Also (Mandatory — S02 Category Level)

Code also any associated intracranial injury (S06.-)

This instruction applies even when the intracranial injury appears clinically minor. Common pairings with condylar fractures:

Code	Description
S06.0X0A	Concussion without LOC, initial encounter
S06.0X1A	Concussion with LOC 30 min or less, initial encounter
S06.0X2A	Concussion with LOC 31-59 min, initial encounter

External Cause Codes Required

External Cause Code	Description
W01.110A	Fall on same level, striking face/jaw, initial encounter
W17.89XA	Other fall from one level to another, initial encounter
W50.0XXA	Accidental hit/strike by another person (assault), initial
V49.50XA	Driver injured in collision with unspecified vehicle, initial
X58.XXXA	Exposure to other specified factors, initial encounter
Y93.89	Activity, other specified (sports)
Y99.8	Other external cause status

HCC (Hierarchical Condition Category) Mapping

S02.611A does NOT map to a CMS-HCC in any current risk adjustment model.

HCC Model	HCC Assignment	RAF Impact
CMS-HCC Model V28	Not assigned	No RAF
RxHCC Model	Not assigned	No RAF
HHS-HCC (ACA Marketplace)	Not assigned	No RAF

Sequela HCC consideration: While the acute fracture code carries no RAF, long-term sequelae of condylar fractures — such as temporomandibular joint dysfunction, chronic pain, ankylosis, or facial asymmetry requiring ongoing care — should be coded using condition-specific sequela codes (S02.611S + M26.60- for TMJ disorder, or M26.64 for arthritis of TMJ) when they drive ongoing management. These also do not typically map to HCC but complete the clinical picture for quality review.

MS-DRG Mapping (Inpatient)

S02.611A as a principal diagnosis typically groups to the craniofacial/head trauma or other head injury DRG families. Mandibular fractures requiring surgical repair are among the more common maxillofacial trauma admissions.

MS-DRG	Description	Trigger
163	Major Head Trauma with MCC	S02.611A as PDx + MCC present
164	Major Head Trauma with CC	S02.611A as PDx + CC present
165	Major Head Trauma without CC/MCC	S02.611A as PDx, no CC/MCC

If surgical procedure (ORIF) is performed during the admission:
Mandibular ORIF (CPT 21465) maps to ICD-10-PCS in the inpatient setting. The surgical DRG triggered depends on the principal diagnosis and operating room procedure:

MS-DRG	Description	Trigger
130	Cranial/Facial Procedures with CC	Facial fracture ORIF + CC
131	Cranial/Facial Procedures without CC/MCC	Facial fracture ORIF, no CC/MCC

MDC: MDC 01 — Diseases and Disorders of the Nervous System (for head trauma grouping) or MDC 03 — Ear, Nose, Mouth, and Throat (for isolated mandible surgical repair)

CC/MCC Status:

S02.611A functions as a CC when appearing as a secondary diagnosis in certain DRG contexts
Will contribute to DRG severity upgrade from base DRG when present as a secondary dx with a qualifying principal diagnosis

CPT Procedure Codes (Commonly Associated)

Diagnostic Imaging

CPT	Description	wRVU (approx.)
70486	CT maxillofacial without contrast (primary imaging for mandible fractures)	1.50
70487	CT maxillofacial with contrast	1.90
70488	CT maxillofacial with and without contrast	2.00
70332	Temporomandibular joint arthrography (rarely used; MRI preferred)	2.25
70336	MRI temporomandibular joint(s)	1.75
70100	Radiological exam, mandible, partial (< 4 views)	0.35
70110	Radiological exam, mandible, complete (minimum 4 views)	0.45

Conservative / Non-Surgical Management (Closed Treatment)

CPT	Description	wRVU (approx.)	Assistant Allowed?
21453	Closed treatment of mandibular fracture with interdental fixation	~8.97	No
21450	Closed treatment of mandibular fracture without manipulation	~4.53	No
21451	Closed treatment of mandibular fracture with manipulation	~5.69	No

MMF (Maxillomandibular Fixation) note: Arch bars and MMF screws placed for closed treatment are included in the closed treatment CPT codes. Do not separately bill arch bar placement when it is part of the closed fracture treatment.

Surgical (Open) Treatment

CPT	Description	wRVU (approx.)	Assistant Allowed?
21465	Open treatment of mandibular condylar fracture	~23.72	Yes
21454	Open treatment of mandibular fracture with external fixation	~14.55	Yes
21462	Open treatment of mandibular fracture with interdental fixation	~15.12	Yes
21461	Open treatment of mandibular fracture without interdental fixation	~14.10	Yes
21470	Open treatment of complicated mandibular fracture, multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures/splints	~26.50	Yes

CPT 21465 — Key code for condylar fracture ORIF: This is the primary CPT for open reduction of a mandibular condylar fracture. It includes the surgical approach (retromandibular, preauricular, or transparotid), fracture reduction, and plate/screw fixation. The 90-day global period applies.

Endoscopic-Assisted Repair

CPT	Description	wRVU (approx.)	Assistant Allowed?
21465	Used for endoscopic-assisted ORIF as well — no separate endoscopic CPT exists; document approach in operative note	~23.72	Yes

Arch Bar and MMF Components (When Separately Billable)

CPT	Description	wRVU (approx.)	Notes
21497	Interdental wiring for condition other than fracture	~3.36	Use only when MMF is performed as a standalone procedure, not bundled with fracture treatment

Temporomandibular Joint Procedures (If Applicable — Intracapsular Fractures)

CPT	Description	wRVU (approx.)	Assistant Allowed?
29804	Arthroscopy, temporomandibular joint, diagnostic	~8.68	No
29800	Arthroscopy, TMJ, surgical	~11.47	No
21240	Arthroplasty, TMJ, with or without autograft	~29.47	Yes
21243	Arthroplasty, TMJ, with prosthetic joint replacement	~32.19	Yes

E/M and Hospital Services

CPT	Description	wRVU (approx.)
99283	ED visit, moderate severity	1.97
99284	ED visit, high severity	2.60
99285	ED visit, high severity with threat to life	3.80
99221	Initial hospital care, low complexity	1.92
99222	Initial hospital care, moderate complexity	2.61
99223	Initial hospital care, high complexity	3.86
99231-99233	Subsequent hospital care	0.76-1.39

Assistant Surgeon Payable Summary

Procedure	Assistant Allowed?
Closed treatment (21450, 21451, 21453)	No
Open treatment of condylar fracture (21465)	Yes
Complicated mandibular fracture ORIF (21470)	Yes
External fixation (21454)	Yes
TMJ arthroplasty (21240, 21243)	Yes
TMJ arthroscopy (29800, 29804)	No
E/M services	No
Diagnostic imaging	No

Coding Examples

Example 1 — Closed Condylar Fracture, Conservative Management

Clinical Scenario:
A 28-year-old male presents to the ED after falling off his bicycle and striking his chin on the pavement. He has right preauricular swelling, tenderness, limited mouth opening, and deviation to the right on opening. Panorex and CT maxillofacial reveal a non-displaced fracture of the right mandibular condylar neck. No LOC. Treatment plan: soft diet, NSAIDs, early mobilization, and close follow-up with oral surgery.

ICD-10-CM:

S02.611A — Fracture of condylar process of right mandible, initial encounter for closed fracture
S00.81XA — Abrasion of chin, initial encounter (if chin abrasion documented)
V18.9XXA — Pedal cyclist injured in nontraffic accident, initial encounter

CPT:

99284 — ED visit, high severity
70486 — CT maxillofacial without contrast
21450 — Closed treatment of mandibular fracture without manipulation (at surgical follow-up if no reduction needed)

Example 2 — Displaced Condylar Fracture, ORIF Right Side

Clinical Scenario:
A 35-year-old female presents after an assault (punch to the right jaw). CT reveals a displaced and angulated right condylar neck fracture with medial deviation of the condylar head. Malocclusion is present with right posterior premature contact and anterior open bite. Brief LOC at scene (~5 minutes). She is admitted to oral and maxillofacial surgery service for ORIF via retromandibular approach.

ICD-10-CM:

S02.611A — Fracture of condylar process of right mandible, initial encounter for closed fracture
S06.0X0A — Concussion without LOC, initial encounter (or S06.0X1A if LOC < 30 min)
W50.0XXA — Accidental hit/strike by another person, initial encounter (assault mechanism)
Y99.8 — Other external cause status

CPT:

21465 — Open treatment of mandibular condylar fracture (ORIF via retromandibular approach)
70486 — CT maxillofacial without contrast (preoperative)
99223 — Initial hospital care, high complexity

Assistant surgeon: Yes — modifier -80 applicable for 21465.

Example 3 — Bilateral Condylar Fractures from MVA

Clinical Scenario:
A 42-year-old male is involved in a head-on MVA, striking the steering wheel. He presents with bilateral preauricular pain, anterior open bite, and bilateral limited mouth opening. CT shows displaced right condylar neck fracture and minimally displaced left condylar neck fracture. He undergoes right-side ORIF (21465-RT) and left-side closed treatment with MMF (21453-LT).

ICD-10-CM:

S02.611A — Fracture of condylar process of right mandible, initial encounter, closed
S02.612A — Fracture of condylar process of left mandible, initial encounter, closed
S06.0X1A — Concussion with LOC 30 min or less, initial encounter
V49.50XA — Driver injured in collision, unspecified vehicle, traffic, initial encounter

CPT:

21465-RT — Open treatment of mandibular condylar fracture, right
21453-LT — Closed treatment of mandibular fracture with interdental fixation, left
70486 — CT maxillofacial

Bilateral fracture billing note: When both sides undergo different procedures, report each CPT with the appropriate laterality modifier (RT/LT). Do not use modifier -50 when different procedures are performed on each side.

Example 4 — Condylar Fracture with TMJ Dislocation (Fracture-Dislocation)

Clinical Scenario:
A 52-year-old male falls from a ladder, landing on his chin. CT reveals a right condylar head fracture with complete dislocation of the condylar head out of the glenoid fossa (medial dislocation). He is taken to the OR for open reduction of the condylar fracture-dislocation.

ICD-10-CM:

S02.611A — Fracture of condylar process of right mandible, initial encounter, closed
S03.01XA — Dislocation of jaw, right side, initial encounter (fracture-dislocation — code both)
W17.89XA — Other fall from one level to another, initial encounter

CPT:

21465 — Open treatment of mandibular condylar fracture (includes reduction of dislocation when performed as part of fracture ORIF)

Example 5 — Pediatric Condylar Fracture, Conservative Management

Clinical Scenario:
An 8-year-old boy falls from playground equipment, striking his chin. He has right preauricular tenderness with deviation to the right on opening. CT reveals a greenstick/incomplete fracture of the right condylar head (intracapsular). No LOC. Pediatric OMFS recommends soft diet and functional therapy — no MMF due to age and incomplete fracture type.

ICD-10-CM:

S02.611A — Fracture of condylar process of right mandible, initial encounter, closed
W09.8XXA — Fall from other playground equipment, initial encounter
Y93.89 — Activity, other specified

CPT:

21450 — Closed treatment of mandibular fracture without manipulation
70486 — CT maxillofacial without contrast

Pediatric coding note: Pediatric condylar fractures have a higher remodeling potential than adult fractures. The growth center involvement should be documented in the provider’s note to support the conservative management decision and any future claims for follow-up care.

Example 6 — Encounter Type Progression (A → D → S)

Same patient as Example 2:

Admission and surgery (active treatment): S02.611A — initial encounter for closed fracture
4-week post-op office visit (hardware check, occlusion assessment, healing on track): S02.611D — subsequent encounter for fracture with routine healing
18 months later (residual right TMJ pain and limited opening persisting after healed fracture): S02.611S + M26.621 — arthralgia of right temporomandibular joint as sequela

Key Coding Pitfalls & Tips

S02.611 vs S02.621 — condylar vs subcondylar: These are distinct codes. S02.611A is for the condylar process (including condylar head and condylar neck). S02.621A is for the subcondylar process (the zone below the condylar neck on the upper ramus). Verify the exact fracture location on imaging and in the clinical note before coding.
Open vs. closed (intraoral laceration = open fracture): Any intraoral laceration that communicates with the fracture makes it an open fracture — code S02.611B (initial encounter, open). Open mandibular fractures are contaminated with oral flora and require different management. This distinction is critical for DRG severity and clinical documentation.
Always apply the “Code also” S06.- instruction. Even if the intracranial injury appears clinically minimal (brief LOC, concussion), it must be coded when documented per the mandatory instructional note.
Right vs left laterality — always verify imaging. Condylar fractures can be unilateral or bilateral. Verify laterality with the imaging report and clinical note; do not assume.
Bilateral fractures = two separate codes. Code S02.611A (right) and S02.612A (left) separately when bilateral condylar fractures are documented. There is no single bilateral condylar fracture code.
External cause codes are expected for all Chapter 19 injuries. Mechanism (V/W/X/Y), place, and activity codes complete the claim and support medical necessity and epidemiological tracking.
Global period for 21465 = 90 days. Any subsequent procedures or office visits for unrelated conditions during the 90-day global period require appropriate modifier management.
Sequela coding for TMJ dysfunction: Long-term post-fracture TMJ dysfunction, ankylosis, or malocclusion should be coded in the sequela phase using S02.611S plus the specific condition code (M26.6- for TMJ disorders, M26.20 for dental arch length discrepancy). These are important for ongoing specialist visits.

Code	Description
S02.611B	Fracture of condylar process of right mandible, initial encounter, open fracture
S02.611D	Fracture of condylar process of right mandible, subsequent encounter, routine healing
S02.611S	Fracture of condylar process of right mandible, sequela
S02.612A	Fracture of condylar process of left mandible, initial encounter, closed
S02.610A	Fracture of condylar process, unspecified side, initial encounter, closed
S02.621A	Fracture of subcondylar process of right mandible, initial encounter, closed
S02.631A	Fracture of coronoid process of right mandible, initial encounter, closed
S02.641A	Fracture of ramus of right mandible, initial encounter, closed
S02.651A	Fracture of angle of right mandible, initial encounter, closed
S02.661A	Fracture of symphysis of mandible, initial encounter, closed
S03.01XA	Dislocation of jaw, right side, initial encounter
S06.0X0A	Concussion without LOC, initial encounter
S06.0X1A	Concussion with LOC 30 min or less, initial encounter
S04.51XA	Injury of facial nerve, right side, initial encounter
M26.621	Arthralgia of right TMJ (sequela/chronic)
M26.61	Adhesions and ankylosis of right TMJ (late sequela)
M26.641	Recessus of right TMJ

Last Reviewed: 2026-02-18 | Source: ICD-10-CM FY2025, CMS MPFS, AO Foundation CMF Trauma Reference, AAPC Oral Surgery Coding and Reimbursement Guide, ICD-10-CM Official Coding Guidelines FY2026

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S02.611A

S02.611A — Fracture of Condylar Process of Right Mandible, Initial Encounter for Closed Fracture

Code Overview

Full Code Description

Clinical Description

Anatomy of the Mandibular Condylar Process

Fracture Patterns and Classification

Mechanism of Injury

Clinical Signs and Symptoms

Diagnosis

Treatment Options

7th Character Table

Code Structure / Code Tree

Includes / Excludes Notes

Includes (S02.6 — Fracture of Mandible)

Excludes2 (S02 Category — May Code Additionally If Present)

Code Also (Mandatory — S02 Category Level)

External Cause Codes Required

HCC (Hierarchical Condition Category) Mapping

MS-DRG Mapping (Inpatient)

CPT Procedure Codes (Commonly Associated)

Diagnostic Imaging

Conservative / Non-Surgical Management (Closed Treatment)

Surgical (Open) Treatment

Endoscopic-Assisted Repair

Arch Bar and MMF Components (When Separately Billable)

Temporomandibular Joint Procedures (If Applicable — Intracapsular Fractures)

E/M and Hospital Services

Assistant Surgeon Payable Summary

Coding Examples

Example 1 — Closed Condylar Fracture, Conservative Management

Example 2 — Displaced Condylar Fracture, ORIF Right Side

Example 3 — Bilateral Condylar Fractures from MVA

Example 4 — Condylar Fracture with TMJ Dislocation (Fracture-Dislocation)

Example 5 — Pediatric Condylar Fracture, Conservative Management

Example 6 — Encounter Type Progression (A → D → S)

Key Coding Pitfalls & Tips

Related Codes (Cross-Reference)

Graph View

Table of Contents

Recent Notes