Type III occipital condyle fracture, left side, init

This code signifies a specific fracture of the left occipital condyle, classified as Type III, which involves an avulsion fracture from the basion. This injury typically results from significant craniocervical trauma, often associated with ligamentous instability. The "initial encounter" indicates the patient is receiving active treatment for the fracture.

Apply this code when documentation clearly states a Type III fracture of the left occipital condyle, meaning an avulsion of the basion. This is appropriate for the initial phase of treatment, such as emergency room visits, initial hospitalization, or first clinic visit for definitive management. Physician notes must specify the fracture type, laterality, and that it is a closed fracture.

• Ensure documentation specifies "Type III" occipital condyle fracture; other types (I, II) have different codes.
• Verify laterality (left side) is clearly stated in the medical record.
• Confirm the encounter is for initial treatment; subsequent encounters for routine healing or sequelae will use different seventh characters.