Type II occipital condyle fracture, right side, 7thB

This code signifies a fracture of the right occipital condyle, specifically classified as a Type II injury, which typically involves a fracture extending into the foramen magnum. The fracture is open, meaning there is a break in the skin or mucous membrane communicating with the fracture site. This code is used for the initial treatment encounter for this specific injury.

Use this code for patients presenting with a newly diagnosed, open Type II fracture of the right occipital condyle. Documentation should clearly specify the laterality (right), the type of fracture (Type II), and confirm that it is an open fracture. This code is appropriate for the initial hospital admission or outpatient visit where definitive treatment is planned or initiated.

• Ensure documentation explicitly states "Type II" for the occipital condyle fracture; other types (I, III) have different codes.
• Verify laterality (right) is clearly documented. If unspecified, query the provider.
• Confirm the "open" nature of the fracture is documented, as this significantly impacts code selection.