ICD-10-CM Billable Code

S02.11C

Type II occipital condyle fracture, right side

Clinical Classification Guidelines

Medical Intelligence & Overview

A Type II occipital condyle fracture, right side (ICD-10 Code S02.11C), is a specific type of cranial fracture involving the occipital bone at the base of the skull. The occipital condyles are rounded protrusions on the lower part of the occipital bone that connect with the first cervical vertebra (atlas), facilitating nodding motions of the head. A fracture here indicates a break in this critical region, often resulting from trauma. Understanding this injury involves knowing its causes, symptoms, diagnostic methods, and treatment options.

Causes & Symptoms

Clinical Causes: High-impact traumas such as motor vehicle accidents Falls from a significant height sports injuries involving direct blows to the head Physical assault resulting in blunt force trauma Other accidents causing sudden head or neck impact

Key Symptoms: Severe neck pain, especially localized at the base of the skull Headaches that may radiate to the neck or behind the eyes Limited range of motion in the neck or head Possible neurological symptoms such as numbness, weakness, or tingling in the arms or legs if nearby nerves are affected Signs of head trauma, including dizziness, confusion, or loss of consciousness Swelling or tenderness over the area of the fracture

Diagnostic & Treatment

Diagnosis Path: Diagnosing an occipital condyle fracture involves a combination of clinical assessment and imaging studies. Medical professionals may perform physical examinations to evaluate neck stability and neurological status. Imaging is crucial for confirmation, typically including:

Treatment Protocols: Management of a Type II occipital condyle fracture aims to stabilize the injury and prevent neurological deterioration. Treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S02.11C a billable ICD-10 code?
Yes, S02.11C is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S02.11C?
Clinical documentation must specify the nature of Type II occipital condyle fracture, right side and any associated comorbidities for accurate reporting.

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