Other fracture of occiput, left side, sequela

This code signifies a healed or residual effect of a fracture of the occipital bone, specifically on the left side, that is not further specified as an atlantal or condylar fracture. It indicates that the acute phase of the injury has passed, and the patient is experiencing ongoing issues directly related to the prior fracture.

Apply this code when a patient presents with a long-term complication or sequela stemming from a previously sustained left-sided occipital fracture. Documentation should clearly state the "sequela" or "late effect" of the fracture, and specify the left side of the occiput. This code is appropriate for conditions like chronic pain, nerve damage, or persistent functional deficits directly attributable to the old fracture.

• Always ensure documentation explicitly states "sequela," "late effect," or a similar term indicating a chronic condition resulting from the fracture.
• Do not use this code for acute or active occipital fractures; those require codes from the S02.11- series without the "S" seventh character.
• Code any current symptoms or conditions related to the sequela (e.g., chronic pain, neurological deficits) in addition to this code.