Type II occipital condyle fracture, right side, 7thG

This code signifies a fracture of the right occipital condyle, specifically a Type II injury according to the Anderson and Montesano classification, which involves the basion and is often unstable. The "subsequent encounter" indicates the patient is receiving routine care during the healing phase, and "delayed healing" specifies that the fracture is not progressing to union at the expected rate.

Use this code for follow-up visits where a patient with a previously diagnosed right-sided Type II occipital condyle fracture is being managed for delayed healing. Documentation should clearly state the specific type of occipital condyle fracture (Type II), the laterality (right), and explicitly mention delayed healing in the physician's notes.

• Always confirm the specific type of occipital condyle fracture (Type I, II, or III) as documented by the physician.
• Ensure the documentation supports "delayed healing" and not nonunion or malunion, which have different code assignments.
• Verify laterality; this code is specific to the right side.