Patient presents with complaints consistent with a possible mandibular fracture.  Symptoms include pain, swelling, malocclusion, trismus, and difficulty chewing.  The mechanism of injury was reported as (insert mechanism e.g., fall, assault, motor vehicle accident).  On physical examination, there is notable tenderness to palpation along the mandible, with possible crepitus or step-off deformity identified at the (insert location e.g., body, angle, ramus, symphysis) of the mandible.  Ecchymosis and intraoral lacerations may be present.  Neurological examination reveals (insert findings e.g., intact or altered sensation in the distribution of the inferior alveolar nerve).  Radiographic imaging, including panoramic radiograph, mandibular series, or CT scan of the mandible, was ordered to confirm the diagnosis and assess the fracture pattern.  Preliminary diagnosis is mandibular fracture, with a differential diagnosis including temporomandibular joint dislocation, zygomatic fracture, and dentoalveolar trauma.  Treatment plan includes pain management with analgesics, referral to oral and maxillofacial surgery for definitive management, which may include closed reduction, open reduction and internal fixation (ORIF), or maxillomandibular fixation (MMF).  Patient education provided on soft diet, oral hygiene, and follow-up care.  ICD-10 code S02.60XA (unspecified fracture of mandible, initial encounter) is pending radiographic confirmation.  CPT codes for evaluation and management, radiographic imaging, and potential surgical procedures will be documented upon completion of services.