S02.11E — Type III occipital condyle fracture, right side
S02.11E is a non-billable header ICD-10-CM code for type iii occipital condyle fracture, right side. 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
Risk adjustment
S02.11E does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How S02.11E is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S02.11E.
- Fracture, traumatic›skull›base›occiput›condyle›type III›right side
Code to one of these instead S02.11E
6 child codes. Green means billable.
- S02.11EAType III occipital condyle fracture, right side, initial encounter for closed fracture
- S02.11EBType III occipital condyle fracture, right side, initial encounter for open fracture
- S02.11EDType III occipital condyle fracture, right side, subsequent encounter for fracture with routine healing
- S02.11EGType III occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing
- S02.11EKType III occipital condyle fracture, right side, subsequent encounter for fracture with nonunion
- S02.11ESType III occipital condyle fracture, right side, sequela
Related codes at this level
Codes that share S02.11. If S02.11E is not quite right, the correct code is usually one of these.
- 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
- S02.11FType III occipital condyle fracture, left side
- S02.11GOther fracture of occiput, right side
- S02.11HOther fracture of occiput, left side
Questions about S02.11E
- Is S02.11E a billable ICD-10-CM code?
- No. S02.11E is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S02.11E sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the head (S00-S09).