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S02.11F ICD-10-CM Code: Type III occipital condyle fracture, left side

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

Code Overview

Type III occipital condyle fracture, left side is a non-billable ICD-10-CM category code (S02.11F). A more specific billable subcode must be selected for claims submission.

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 S02.11F 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.

Code Also

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

  • any associated intracranial injury (S06.-) inherited from S02
  • for any associated infection inherited from S00-S09

Frequently Compared Codes

The official Excludes notes on S02.11F 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 III occipital condyle fracture, left side
    FY2017 changes

Verify Before Coding

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 S02.11F 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.

Related Codes

Same condition, opposite side

Same category and title, differing only in which side of the body is affected.

S02.112 — Type III occipital condyle fracture, unspecified side (unspecified)Compare S02.11F vs S02.112 →, S02.11E — Type III occipital condyle fracture, right side (right)Compare S02.11F vs S02.11E →

Contextual Map

Every relationship of S02.11F 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

Nearest codes (40)

  • S02 — Fracture of skull and facial bones [Sibling]
  • S02.11CA — Type II occipital condyle fracture, right side, initial encounter for closed fracture [Sibling]
  • S02.11CB — Type II occipital condyle fracture, right side, initial encounter for open fracture [Sibling]
  • S02.11CD — Type II occipital condyle fracture, right side, subsequent encounter for fracture with routine healing [Sibling]
  • S02.11CG — Type II occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing [Sibling]
  • S02.11CK — Type II occipital condyle fracture, right side, subsequent encounter for fracture with nonunion [Sibling]
  • S02.11CS — Type II occipital condyle fracture, right side, sequela [Sibling]
  • S02.11D — Type II occipital condyle fracture, left side [Sibling]
  • and 32 more

Change history

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S02.11F be billed directly?

No. S02.11F (Type III occipital condyle fracture, left side) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

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

  • 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
  • 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
  • S02.11ES — Type III occipital condyle fracture, right side, sequela
  • S02.11FA — Type III occipital condyle fracture, left side, initial encounter for closed fracture
  • S02.11FB — Type III occipital condyle fracture, left side, initial encounter for open fracture
  • 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
  • S02.11FK — Type III occipital condyle fracture, left side, subsequent encounter for fracture with nonunion

View all codes in the S02 family