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S02.611 vs S02.612

S02.611 (Fracture of condylar process of right mandible) compared with S02.612 (Fracture of condylar process of left mandible), from the official CMS tabular data. S02.611 and S02.612 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S02.611
Right
Fracture of condylar process of right mandible
S02.612
Left
Fracture of condylar process of left mandible

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S02.611 and S02.612 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S02.611Fracture of condylar process of right mandibleS02.612Fracture of condylar process of left mandible
Billing statusNon-billable header

Report instead: S02.611A, S02.611B, S02.611D, S02.611G, S02.611K

Non-billable header

Report instead: S02.612A, S02.612B, S02.612D, S02.612G, S02.612K

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionFracture of condylar process of right mandible is a non-billable ICD-10-CM category code (S02.611).Fracture of condylar process of left mandible is a non-billable ICD-10-CM category code (S02.612).
7th characterThe appropriate 7th character is to be added to each code from category S02The appropriate 7th character is to be added to each code from category S02
Includes
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources