S02.110G ICD-10-CM Code: Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healing
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
- MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
- MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Overview
Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S02.110G in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of ear inherited from S00-S09
- injuries of eye inherited from S00-S09
- injuries of face [any part] inherited from S00-S09
- injuries of gum inherited from S00-S09
- injuries of jaw inherited from S00-S09
- injuries of oral cavity inherited from S00-S09
- injuries of palate inherited from S00-S09
- injuries of periocular area inherited from S00-S09
- injuries of scalp inherited from S00-S09
- injuries of temporomandibular joint area inherited from S00-S09
- injuries of tongue inherited from S00-S09
- injuries of tooth inherited from S00-S09
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- lateral orbital wall (S02.84-) inherited from S02.1Compare S02.110G vs S02.84 →
- medial orbital wall (S02.83-) inherited from S02.1Compare S02.110G vs S02.83 →
- orbital floor (S02.3-) inherited from S02.1Compare S02.110G vs S02.3 →
- burns and corrosions (T20-T32) inherited from S00-S09Compare S02.110G vs T20 →
- effects of foreign body in ear (T16) inherited from S00-S09Compare S02.110G vs T16 →
- effects of foreign body in larynx (T17.3) inherited from S00-S09Compare S02.110G vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) inherited from S00-S09Compare S02.110G vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) inherited from S00-S09Compare S02.110G vs T17.0 →
- effects of foreign body in pharynx (T17.2) inherited from S00-S09Compare S02.110G vs T17.2 →
- effects of foreign body on external eye (T15.-) inherited from S00-S09Compare S02.110G vs T15 →
- frostbite (T33-T34) inherited from S00-S09Compare S02.110G vs T33 →
- insect bite or sting, venomous (T63.4) inherited from S00-S09Compare S02.110G vs T63.4 →
Indexed Clinical Terms (1)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
- Fracture, traumatic (abduction) (adduction) (separation), skull, base, occiput, condyle, type I
Frequently Compared Codes
The official Excludes notes on S02.110G name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2017 — 2016-10-01Description revisedType I occipital condyle fracture, subsequent encounter for fracture with delayed healing → Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healingFY2017 changes
- FY2017 — 2016-10-01Short description revisedType I occipital condyle fracture, subs for fx w delay heal → Type I occipital condyle fracture, unspecified side, 7thGFY2017 changes
- FY2016 — 2015-10-01In the code set at ICD-10-CM adoptionType I occipital condyle fracture, subsequent encounter for fracture with delayed healing
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name S02.110G or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: S01 — Open wound of head (via S02.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 2 Excludes2 notes: S02.3 — Fracture of orbital floor (via S02.1.-), S05 — Injury of eye and orbit (via S02.1.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Code First instruction: R40.2 — Coma (via S02.-).
These codes instruct coders to sequence this condition first when it applies.
Referenced by 1 Use Additional Code instruction: S07 — Crushing injury of head (via S02.-).
These codes instruct coders to additionally report this code when it applies.
Referenced by 2 Code Also instructions: S04 — Injury of cranial nerve (via S02.-), S06 — Intracranial injury (via S02.-).
These codes suggest coding this condition alongside when both are present.
MS-DRG Grouper Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ038 — Fracture of head and neck, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same condition, opposite side
Same category and title, differing only in which side of the body is affected.
S02.11AG — Type I occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing (right)Compare S02.110G vs S02.11AG →, S02.11BG — Type I occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing (left)Compare S02.110G vs S02.11BG →
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S02.110A — Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture Compare S02.110G vs S02.110A →, S02.110B — Type I occipital condyle fracture, unspecified side, initial encounter for open fracture, S02.110D — Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing, S02.110K — Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunion, S02.110S — Type I occipital condyle fracture, unspecified side, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Fracture of head and neck, subsequent encounter).
S02.101D — Fracture of base of skull, right side, subsequent encounter for fracture with routine healing, S02.101G — Fracture of base of skull, right side, subsequent encounter for fracture with delayed healing, S02.101K — Fracture of base of skull, right side, subsequent encounter for fracture with nonunion, S02.102D — Fracture of base of skull, left side, subsequent encounter for fracture with routine healing, S02.102G — Fracture of base of skull, left side, subsequent encounter for fracture with delayed healing, S02.102K — Fracture of base of skull, left side, subsequent encounter for fracture with nonunion, S02.109D — Fracture of base of skull, unspecified side, subsequent encounter for fracture with routine healing, S02.109G — Fracture of base of skull, unspecified side, subsequent encounter for fracture with delayed healing, S02.109K — Fracture of base of skull, unspecified side, subsequent encounter for fracture with nonunion, S02.110D — Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing, S02.110K — Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunion, S02.111D — Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing, S02.111G — Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healing, S02.111K — Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunion, S02.112D — Type III occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing, S02.112G — Type III occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed healing, S02.112K — Type III occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunion, S02.113D — Unspecified occipital condyle fracture, subsequent encounter for fracture with routine healing, S02.113G — Unspecified occipital condyle fracture, subsequent encounter for fracture with delayed healing, S02.113K — Unspecified occipital condyle fracture, subsequent encounter for fracture with nonunion, +207 more
Contextual Map
Every relationship of S02.110G in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S00-S09 — Injuries to the head [Hierarchy]
Referenced by Excludes1 notes
- S01 — Open wound of head [Excludes1](via S02.-): “open skull fracture (S02.- with 7th character B)” · check together
Referenced by Excludes2 notes
- S02.3 — Fracture of orbital floor [Excludes2](via S02.1.-): “orbital roof (S02.1-)” · check together
- S05 — Injury of eye and orbit [Excludes2](via S02.1.-): “orbital bone fracture (S02.1-, S02.3-, S02.8-)” · check together
Referenced by Code First instructions
- R40.2 — Coma [Code First](via S02.-): “fracture of skull (S02.-)” · check together
Referenced by Use Additional Code instructions
- S07 — Crushing injury of head [Use Additional Code](via S02.-): “skull fractures (S02.-)” · check together
Referenced by Code Also instructions
- S04 — Injury of cranial nerve [Code Also](via S02.-): “skull fracture (S02.-)” · check together
- S06 — Intracranial injury [Code Also](via S02.-): “skull fracture (S02.-)” · check together
Clinical classification (CCSR)
- INJ038 — Fracture of head and neck, subsequent encounter [CCSR]
MS-DRG Grouper
- DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
- DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
- DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”
MDC crossing · procedures (18508)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- and 18503 more
Index entries
- Fracture, traumatic (abduction) (adduction) (separation), skull, base, occiput, condyle, type I[Index term]
Nearest codes (40)
- S02 — Fracture of skull and facial bones [Sibling]
- S02.101S — Fracture of base of skull, right side, sequela [Sibling]
- S02.102 — Fracture of base of skull, left side [Sibling]
- S02.102A — Fracture of base of skull, left side, initial encounter for closed fracture [Sibling]
- S02.102B — Fracture of base of skull, left side, initial encounter for open fracture [Sibling]
- S02.102D — Fracture of base of skull, left side, subsequent encounter for fracture with routine healing [Sibling]
- S02.102G — Fracture of base of skull, left side, subsequent encounter for fracture with delayed healing [Sibling]
- S02.102K — Fracture of base of skull, left side, subsequent encounter for fracture with nonunion [Sibling]
- and 32 more
Change history (3)
- FY2017 — Description revised [Change history]
- and 2 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S02.110G require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S02.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S02.110G in its code family, with their registry titles.
- S02.11 — Fracture of occiput
- S02.110 — Type I occipital condyle fracture, unspecified side
- S02.110A — Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.110B — Type I occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.110D — Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with routine healing
- S02.110K — Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunion
- S02.110S — Type I occipital condyle fracture, unspecified side, sequela
- S02.111 — Type II occipital condyle fracture, unspecified side
- S02.111A — Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.111B — Type II occipital condyle fracture, unspecified side, initial encounter for open fracture