Type II occipital condyle fracture, left side, 7thD

This code signifies a fracture of the left occipital condyle, specifically a Type II injury, which involves the base of the condyle and often extends into the foramen magnum. The "D" in the 7th character indicates that the patient is in the healing phase and receiving routine follow-up care for the fracture.

This code is appropriate for follow-up encounters where a patient is receiving ongoing management for a previously diagnosed Type II occipital condyle fracture on the left side, and the healing process is progressing as expected without complications. Documentation should explicitly state "Type II occipital condyle fracture, left," and indicate a "subsequent encounter" with "routine healing."

• Ensure the laterality (left) is clearly documented.
• Verify the fracture type (Type II) is specified, as other types exist.
• Confirm the 7th character "D" is appropriate for routine healing; other 7th characters exist for delayed healing, nonunion, or malunion.