Type II occipital condyle fracture, unspecified side, 7thB

This code signifies a traumatic break in the occipital condyle, specifically a Type II fracture, which involves the base of the condyle. The fracture is open, meaning there is a break in the skin or mucous membrane communicating with the fracture site, and the laterality is not specified. This code is used for the initial treatment of the injury.

This code is appropriate for the initial encounter of a patient presenting with an open Type II occipital condyle fracture where the side of the injury is not documented. Documentation should clearly state an open fracture of the occipital condyle and specify it as Type II, typically following a trauma such as a fall or motor vehicle accident.

• Ensure documentation explicitly states "Type II" and "open fracture" for accurate code assignment.
• Do not use this code if the laterality (left or right) is specified; a more specific code exists for those scenarios.
• This code is only for the initial encounter; subsequent care for the same injury will require a different encounter character.