S02.113K
S02.113K: Unspecified occipital condyle fracture, subsequent encounter for fracture with nonunion
Billable / specific codeICD-10-CMPOA exempt
S02.113K is a billable, specific ICD-10-CM code for unspecified occipital condyle fracture, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
Check S02.113K with the rest of the claim: free scrubber7th character "K": subsequent encounter for fracture with nonunion
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 S02.113K
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.
Medicare coverage
S02.113K is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56612Billing and Coding: CT of the Head
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S02.113
- 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
- S02.113SUnspecified occipital condyle fracture, sequela