Type II occipital condyle fracture, right side, init

This code signifies a fracture of the right occipital condyle, specifically classified as a Type II injury. This type of fracture typically involves the base of the condyle and is often considered stable. It represents the initial treatment encounter for a closed fracture, meaning the skin is intact over the injury site.

Apply this code for a patient presenting with a newly diagnosed, non-displaced or minimally displaced fracture of the right occipital condyle, as documented by imaging studies (e.g., CT scan). The documentation should explicitly state "Type II" and confirm the fracture is closed and on the right side. This code is appropriate for the initial visit where definitive treatment is planned or initiated.

• Ensure documentation specifies "Type II" to differentiate from Type I (impaction) or Type III (avulsion) fractures.
• Verify laterality (right side) is clearly documented; separate codes exist for left or unspecified sides.
• Confirm "initial encounter" for the current treatment episode; subsequent encounters will use different seventh characters.