Sprain of jaw, bilateral, subsequent encounter

This code signifies a sprain affecting both temporomandibular joints (TMJs) that is being treated during a follow-up visit after the initial injury. A jaw sprain involves the stretching or tearing of the ligaments supporting the TMJ, often resulting from trauma, excessive opening, or repetitive strain.

Apply this code for patients presenting for ongoing management, such as physical therapy, re-evaluation, or medication adjustments, for a previously diagnosed bilateral jaw sprain. Documentation should clearly indicate a bilateral TMJ sprain and specify that the encounter is not for the initial treatment of the injury.

• Ensure documentation explicitly states "bilateral" to support the laterality.
• Verify that the encounter is indeed "subsequent" and not an initial treatment or sequela.
• Distinguish from TMJ dislocations (S03.0XXD) or other jaw injuries.