S02.11FG — Type III occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing
S02.11FG is a billable, specific ICD-10-CM code for type iii occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.
7th character "G" — subsequent encounter for fracture with delayed healing
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
Excludes2 inherited from the categories above S02.11FG
Also inherited, and the opposite of Excludes1: these conditions are not part of S02.11FG, but a patient can have both, so you may code both.
Other codes that can never be billed with S02.11FG
These codes carry an Excludes1 note pointing at S02.11FG. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S02.11FG alone.
- S01Open wound of head
Risk adjustment
S02.11FG 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.
Medicare coverage
S02.11FG is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Code history
S02.11FG has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S02.11F. If S02.11FG is not quite right, the correct code is usually one of these.
- S02.11FAType III occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11FBType III occipital condyle fracture, left side, initial encounter for open fracture
- S02.11FDType III occipital condyle fracture, left side, subsequent encounter for fracture with routine healing
- S02.11FKType III occipital condyle fracture, left side, subsequent encounter for fracture with nonunion
- S02.11FSType III occipital condyle fracture, left side, sequela
Questions about S02.11FG
- Is S02.11FG a billable ICD-10-CM code?
- Yes. S02.11FG is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S02.11FG 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).