Other fracture of occiput, unspecified side, 7thB

This code signifies a fracture of the occipital bone that is not specifically classified as a basilar skull fracture or a condylar fracture. It indicates that the fracture is open, meaning there is a break in the skin or mucous membrane communicating with the fracture site, and it is the initial treatment encounter for this injury.

Apply this code when documentation clearly states an open fracture of the occiput, without further specification of the fracture type (e.g., basilar, condylar). This code is appropriate for the patient's first visit for treatment of this specific injury. Supporting documentation should include imaging reports confirming an occipital fracture and physician notes describing an open wound associated with the fracture.

• Ensure documentation specifies "open fracture" and "initial encounter." If the fracture is closed, a different code is required.
• Distinguish from more specific occipital fractures (e.g., basilar, condylar) which have their own codes.
• Always sequence this code first as the primary diagnosis when it is the reason for the encounter.