Fx condylar process of mandible, unspecified side, 7thB

This code signifies an open fracture affecting the condylar process of the mandible, where the specific side (left or right) is not documented. An open fracture indicates a break in the skin or mucous membrane, exposing the bone to the external environment. This code is used for the initial treatment of such an injury.

Apply this code when documentation clearly indicates an open fracture of the mandibular condyle, without specifying laterality, and the patient is receiving initial active treatment for the fracture. This includes emergency department visits, initial surgical repair, or the first encounter for definitive management. Supporting documentation would include operative reports, emergency department notes, or physician progress notes detailing the open nature of the fracture and the anatomical site.

• Ensure documentation explicitly states "open fracture" and "condylar process of mandible."
• If laterality (left or right) is specified, a more specific code should be used.
• This code is for the initial encounter; subsequent encounters for follow-up care or healing would require a different seventh character.