S02.61 ICD-10-CM Code: Fracture of condylar process of mandible
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S02.61 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- burns and corrosions (T20-T32) Compare S02.61 vs T20 →
- effects of foreign body in ear (T16) Compare S02.61 vs T16 →
- effects of foreign body in larynx (T17.3) Compare S02.61 vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S02.61 vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S02.61 vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S02.61 vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S02.61 vs T15 →
- frostbite (T33-T34) Compare S02.61 vs T33 →
- insect bite or sting, venomous (T63.4) Compare S02.61 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated intracranial injury (S06.-)
- for any associated infection
Frequently Compared Codes
The official Excludes notes on S02.61 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S02" Options: S02.610A, S02.610B, S02.610D, S02.610G, S02.610K, S02.610S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Other codes that name S02.61 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
1 Excludes1 notes: S01 (via S02.-).
1 Code First instructions: R40.2 (via S02.-).
1 Use Additional Code instructions: S07 (via S02.-).
Contextual Map
Every relationship of S02.61 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
Referenced by Excludes1 notes
- S01 — Open wound of head [Excludes1](via S02.-): “open skull fracture (S02.- with 7th character B)” · check together
Referenced by Code First instructions
- R40.2 — Coma [Code First](via S02.-): “fracture of skull (S02.-)” · check together
Referenced by Use Additional Code instructions
- S07 — Crushing injury of head [Use Additional Code](via S02.-): “skull fractures (S02.-)” · check together
Referenced by Code Also instructions
- S04 — Injury of cranial nerve [Code Also](via S02.-): “skull fracture (S02.-)” · check together
- S06 — Intracranial injury [Code Also](via S02.-): “skull fracture (S02.-)” · check together
Nearest codes (40)
- S02 — Fracture of skull and facial bones [Sibling]
- S02.601A — Fracture of unspecified part of body of right mandible, initial encounter for closed fracture [Sibling]
- S02.601B — Fracture of unspecified part of body of right mandible, initial encounter for open fracture [Sibling]
- S02.601D — Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with routine healing [Sibling]
- S02.601G — Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with delayed healing [Sibling]
- S02.601K — Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with nonunion [Sibling]
- S02.601S — Fracture of unspecified part of body of right mandible, sequela [Sibling]
- S02.602 — Fracture of unspecified part of body of left mandible [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S02.61 be billed directly?
No. S02.61 (Fracture of condylar process of mandible) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S02.61 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S02.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S02.61 in its code family, with their registry titles.
- S02.609B — Fracture of mandible, unspecified, initial encounter for open fracture
- S02.609D — Fracture of mandible, unspecified, subsequent encounter for fracture with routine healing
- S02.609G — Fracture of mandible, unspecified, subsequent encounter for fracture with delayed healing
- S02.609K — Fracture of mandible, unspecified, subsequent encounter for fracture with nonunion
- S02.609S — Fracture of mandible, unspecified, sequela
- S02.610 — Fracture of condylar process of mandible, unspecified side
- S02.610A — Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture
- S02.610B — Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture
- S02.610D — Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with routine healing
- S02.610G — Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with delayed healing