S02.11DK
S02.11DK: Type II occipital condyle fracture, left side, subsequent encounter for fracture with nonunion
Billable / specific codeICD-10-CMPOA exemptleft
S02.11DK is a billable, specific ICD-10-CM code for type ii occipital condyle fracture, left side, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
Check S02.11DK 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 S02.11DK
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
S02.11DK is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S02.11D
- S02.11DAType II occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11DBType II occipital condyle fracture, left side, initial encounter for open fracture
- S02.11DDType II occipital condyle fracture, left side, subsequent encounter for fracture with routine healing
- S02.11DGType II occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing
- S02.11DSType II occipital condyle fracture, left side, sequela