Other fracture of occiput, unspecified side, sequela

This code signifies a healed or residual effect of a fracture to the occipital bone, located at the back and lower part of the skull, where the specific side of the fracture was not documented or is unknown. It indicates that the patient is experiencing a current problem or condition that is a direct result of a previously sustained occipital fracture.

This code is appropriate when a patient presents with a sequela (e.g., chronic pain, neurological deficit, nonunion, malunion) directly attributable to an old occipital fracture, and the original fracture's side was not specified or is no longer determinable. Documentation must clearly link the current condition to the past occipital fracture and indicate the "sequela" status.

• Always sequence the sequela code first, followed by codes for the specific residual condition(s).
• Ensure documentation explicitly states "sequela," "late effect," or similar terminology linking the current issue to a past occipital fracture.
• Do not use this code for acute or active occipital fractures; those require codes from the S02.11- series without the "S" seventh character.