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S02.11DK ICD-10-CM Code: Type II occipital condyle fracture, left side, subsequent encounter for fracture with nonunion

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 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)
  • MS-DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)
  • MS-DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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.

Official Registry Overview & Definition

Type II occipital condyle fracture, left side, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S02.11DK).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S02.11DK 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.

Code Also

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

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

Frequently Compared Codes

The official Excludes notes on S02.11DK name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Type II occipital condyle fracture, left side, subsequent encounter for fracture with nonunion
    FY2017 changes

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.

Relationships & Classification

Other codes that name S02.11DK 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.

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.-).

Potential MS-DRG 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 564 (MDC 08), DRG 565 (MDC 08), DRG 566 (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.

S02.111K — Type II occipital condyle fracture, unspecified side, subsequent encounter for fracture with nonunion (unspecified), S02.11CK — Type II occipital condyle fracture, right side, subsequent encounter for fracture with nonunion (right)

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S02.11DA — Type II occipital condyle fracture, left side, initial encounter for closed fracture, S02.11DB — Type II occipital condyle fracture, left side, initial encounter for open fracture, S02.11DD — Type II occipital condyle fracture, left side, subsequent encounter for fracture with routine healing, S02.11DG — Type II occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing, S02.11DS — Type II occipital condyle fracture, left 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).

S02.11CD — Type II occipital condyle fracture, right side, subsequent encounter for fracture with routine healing, S02.11CG — Type II occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing, S02.11CK — Type II occipital condyle fracture, right side, subsequent encounter for fracture with nonunion, S02.11DD — Type II occipital condyle fracture, left side, subsequent encounter for fracture with routine healing, S02.11DG — Type II occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing, S02.11ED — Type III occipital condyle fracture, right side, subsequent encounter for fracture with routine healing, S02.11EG — Type III occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing, S02.11EK — Type III occipital condyle fracture, right side, subsequent encounter for fracture with nonunion, S02.11FD — Type III occipital condyle fracture, left side, subsequent encounter for fracture with routine healing, S02.11FG — Type III occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing, +217 more

Contextual Map

Every relationship of S02.11DK 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

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]

Potential MS-DRG

  • DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)”
  • DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)”
  • DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [Sibling]
  • S02.11AS — Type I occipital condyle fracture, right side, sequela [Sibling]
  • S02.11B — Type I occipital condyle fracture, left side [Sibling]
  • S02.11BA — Type I occipital condyle fracture, left side, initial encounter for closed fracture [Sibling]
  • S02.11BB — Type I occipital condyle fracture, left side, initial encounter for open fracture [Sibling]
  • S02.11BD — Type I occipital condyle fracture, left side, subsequent encounter for fracture with routine healing [Sibling]
  • S02.11BG — Type I occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing [Sibling]
  • S02.11BK — Type I occipital condyle fracture, left side, subsequent encounter for fracture with nonunion [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S02.11DK 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 S02.11DK in its code family, with their registry titles.

  • S02.11D — Type II occipital condyle fracture, left side
  • S02.11DA — Type II occipital condyle fracture, left side, initial encounter for closed fracture
  • S02.11DB — Type II occipital condyle fracture, left side, initial encounter for open fracture
  • S02.11DD — Type II occipital condyle fracture, left side, subsequent encounter for fracture with routine healing
  • S02.11DG — Type II occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing
  • S02.11DS — Type II occipital condyle fracture, left side, sequela
  • S02.11E — Type III occipital condyle fracture, right side
  • S02.11EA — Type III occipital condyle fracture, right side, initial encounter for closed fracture
  • S02.11EB — Type III occipital condyle fracture, right side, initial encounter for open fracture
  • S02.11ED — Type III occipital condyle fracture, right side, subsequent encounter for fracture with routine healing

View all codes in the S02 family