S02.11FB
ICD-10-CMType III occipital condyle fracture, left side, initial encounter for open fracture
This code signifies a specific type of fracture affecting the left occipital condyle, which is the bony prominence at the base of the skull that articulates with the first cervical vertebra. A Type III fracture indicates an avulsion injury where the alar ligament pulls off a fragment of the condyle, often associated with rotational and lateral bending forces. This particular instance specifies an open fracture, meaning there is a break in the skin and soft tissue communicating with the fracture site.
Apply this code for patients presenting with a newly diagnosed, open Type III fracture of the left occipital condyle. Documentation should clearly state the fracture type (Type III), laterality (left), and the open nature of the injury, typically described as a compound fracture or one with an associated wound communicating with the bone. This code is appropriate for the initial treatment phase of the injury.
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