Type I occipital condyle fracture, right side, sequela

This code signifies a healed or residual condition resulting from a fracture of the right occipital condyle, specifically a Type I fracture. It indicates that the initial injury has resolved, but the patient is still experiencing long-term effects or complications directly attributable to that past fracture.

Apply this code when documenting a patient presenting with a sequela (e.g., chronic pain, neurological deficit, instability) directly linked to a previously sustained Type I fracture of the right occipital condyle. Documentation must clearly state that the current condition is a residual effect of the past fracture, not an acute injury.

• Ensure documentation specifies "sequela" or "late effect" and clearly links the current condition to the prior occipital condyle fracture.
• Always code the specific sequela (e.g., chronic pain, neurological deficit) first, followed by this sequela code.
• Distinguish from acute fractures (S02.11A-) which are used for initial encounters for active treatment of the fracture.