S02.113
S02.113: Unspecified occipital condyle fracture
Non-billable headerICD-10-CM
S02.113 is a non-billable header ICD-10-CM code for unspecified occipital condyle fracture. 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 S02.113
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.
Alphabetic index entries that lead here
- Fracture, traumatic›skull›base›occiput›condyle
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S02.113
6 child codes. Green means billable.
- S02.113AUnspecified occipital condyle fracture, initial encounter for closed fracture
- S02.113BUnspecified occipital condyle fracture, initial encounter for open fracture
- S02.113DUnspecified occipital condyle fracture, subsequent encounter for fracture with routine healing
- S02.113GUnspecified occipital condyle fracture, subsequent encounter for fracture with delayed healing
- S02.113KUnspecified occipital condyle fracture, subsequent encounter for fracture with nonunion
- S02.113SUnspecified occipital condyle fracture, sequela
Other codes under S02.11
- S02.110Type I occipital condyle fracture, unspecified side
- S02.111Type II occipital condyle fracture, unspecified side
- S02.112Type III occipital condyle fracture, unspecified side
- S02.118Other 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