S02.11
S02.11: Fracture of occiput
Non-billable headerICD-10-CM
S02.11 is a non-billable header ICD-10-CM code for fracture of occiput. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S02
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- S
- sequela
Other codes that can never be billed with S02.11
Their own Excludes1 notes name this code, so the conflict is not listed above.
- S01Open wound of head
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S02.11
14 child codes. Green means billable.
- S02.110Type I occipital condyle fracture, unspecified side
- S02.111Type II occipital condyle fracture, unspecified side
- S02.112Type III occipital condyle fracture, unspecified side
- S02.113Unspecified occipital condyle fracture
- S02.118Other fracture of occiput, unspecified side
- S02.119Unspecified fracture of occiput
- S02.11AType I occipital condyle fracture, right side
- S02.11BType I occipital condyle fracture, left side
- S02.11CType II occipital condyle fracture, right side
- S02.11DType II occipital condyle fracture, left side
- S02.11EType III occipital condyle fracture, right side
- S02.11FType III occipital condyle fracture, left side
- S02.11GOther fracture of occiput, right side
- S02.11HOther fracture of occiput, left side