S02.11GG

S02.11GG: Other fracture of occiput, right side, subsequent encounter for fracture with delayed healing

Billable / specific codeICD-10-CMPOA exemptright

S02.11GG is a billable, specific ICD-10-CM code for other fracture of occiput, right side, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.

Check S02.11GG with the rest of the claim: free scrubber

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 S02.11GG

Not part of this code, but both may be coded when both are present.

Written on S02.1: Fracture of base of skull

lateral orbital wall (S02.84-)
medial orbital wall (S02.83-)
orbital floor (S02.3-)

Other codes that can never be billed with S02.11GG

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

S02.11GG 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.