S02.11EK
ICD-10-CMType III occipital condyle fracture, right side, subsequent encounter for fracture with nonunion
This diagnosis code signifies a specific fracture of the right occipital condyle, classified as Type III. A Type III fracture involves an avulsion injury where a fragment of the occipital bone, including the condyle, is pulled away from the skull base, often due to rotational or distraction forces. The "nonunion" aspect indicates that the fractured bone segments have failed to heal together after a typical healing period.
This code is appropriate for subsequent encounters where a patient is being treated for a previously diagnosed Type III occipital condyle fracture on the right side that has not united. Documentation should clearly state the fracture type (Type III), laterality (right), and explicitly mention the presence of nonunion. This code would be used during follow-up appointments, imaging studies to assess nonunion, or during preparations for interventions to address the nonunion.
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