S02.111 — Type II occipital condyle fracture, unspecified side

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Type II occipital condyle fracture, unspecified side is a non-billable ICD-10-CM category code (S02.111). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.111 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum
injuries of jaw
injuries of oral cavity
injuries of palate
injuries of periocular area
injuries of scalp
injuries of temporomandibular joint area
injuries of tongue
injuries of tooth

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-) Compare S02.111 vs S02.84 →
medial orbital wall (S02.83-) Compare S02.111 vs S02.83 →
orbital floor (S02.3-) Compare S02.111 vs S02.3 →
burns and corrosions (T20-T32) Compare S02.111 vs T20 →
effects of foreign body in ear (T16) Compare S02.111 vs T16 →
effects of foreign body in larynx (T17.3) Compare S02.111 vs T17.3 →
effects of foreign body in mouth NOS (T18.0) Compare S02.111 vs T18.0 →
effects of foreign body in nose (T17.0-T17.1) Compare S02.111 vs T17.0 →
effects of foreign body in pharynx (T17.2) Compare S02.111 vs T17.2 →
effects of foreign body on external eye (T15.-) Compare S02.111 vs T15 →
frostbite (T33-T34) Compare S02.111 vs T33 →
insect bite or sting, venomous (T63.4) Compare S02.111 vs T63.4 →

Code Also

Additional codes that may be required to fully describe the encounter.

any associated intracranial injury (S06.-)
for any associated infection

Change history

FY2017 — 2016-10-01
Description revised
Type II occipital condyle fracture → Type II occipital condyle fracture, unspecified side
FY2017 changes
FY2017 — 2016-10-01
Short description revised
Type II occipital condyle fracture → Type II occipital condyle fracture, unspecified side
FY2017 changes

Verify Before Coding

Not billable as written — a more specific code is required: S02.111A, S02.111B, S02.111D, S02.111G, S02.111K.
Requires a 7th character. "The appropriate 7th character is to be added to each code from category S02" Options: S02.111A, S02.111B, S02.111D, S02.111G, S02.111K, S02.111S

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of S02.111 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

Index entries

Fracture, traumatic (abduction) (adduction) (separation), skull, base, occiput, condyle, type II[Index term]

Nearest codes (40)

S02 — Fracture of skull and facial bones [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]
S02.102S — Fracture of base of skull, left side, sequela [Sibling]
S02.109 — Fracture of base of skull, unspecified side [Sibling]
S02.109A — Fracture of base of skull, unspecified side, initial encounter for closed fracture [Sibling]
and 32 more

Change history (2)

FY2017 — Description revised [Change history]
and 1 more

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name S02.111 or its code family.

1 Excludes1 notes: S01 (via S02.-).

2 Excludes2 notes: S02.3 (via S02.1.-), S05 (via S02.1.-).

1 Code First instructions: R40.2 (via S02.-).

1 Use Additional Code instructions: S07 (via S02.-).

2 Code Also instructions: S04 (via S02.-), S06 (via S02.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S02.111 be billed directly?

No. S02.111 (Type II occipital condyle fracture, unspecified side) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S02.111 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 S02.111 in its code family, with their registry titles.

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
S02.110G — Type I occipital condyle fracture, unspecified side, subsequent encounter for fracture with delayed 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
S02.111A — 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
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

View all codes in the S02 family

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

Fracture, traumatic (abduction) (adduction) (separation), skull, base, occiput, condyle, type II

S02.111 ICD-10-CM Code: Type II occipital condyle fracture, unspecified side