Type II occipital condyle fracture, unspecified side, 7thD

This code signifies a follow-up encounter for a Type II fracture of the occipital condyle, which is a break in the bony prominences at the base of the skull that articulate with the first cervical vertebra. The "Type II" classification indicates a fracture through the waist of the condyle, often associated with craniocervical instability. The "routine healing" designation means the fracture is progressing as expected without complications.

This code is appropriate for subsequent visits when a patient is receiving ongoing care for a previously diagnosed Type II occipital condyle fracture that is healing normally. Documentation should clearly state "subsequent encounter" or "follow-up" for the fracture, and indicate routine healing without mention of delayed healing, nonunion, or malunion. This code is used after the initial treatment phase.

• Ensure documentation specifies "routine healing" for the subsequent encounter; otherwise, a different seventh character may be required.
• Do not use this code for initial treatment of the fracture; use the appropriate initial encounter code.
• Laterality is unspecified for this code; if laterality is documented, a more specific code should be chosen.