S02.113 — Unspecified occipital condyle fracture
Is S02.113 billable?
No — S02.113 is a non-billable header code. S02.113 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 6 billable codes beneath S02.113.
Billable codes under this header
- S02.113AUnspecified occipital condyle fracture, initial encounter for closed fracture
- S02.113BUnspecified occipital condyle fracture, initial encounter for open fracture
- S02.113DUnspecified occipital condyle fracture, subsequent encounter for fracture with routine healing
- S02.113GUnspecified occipital condyle fracture, subsequent encounter for fracture with delayed healing
- S02.113KUnspecified occipital condyle fracture, subsequent encounter for fracture with nonunion
- S02.113SUnspecified occipital condyle fracture, sequela
S02.113 at a glance
| Code | S02.113 |
|---|---|
| Description | Unspecified occipital condyle fracture |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S02.113 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S02.113. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › skull › base › occiput › condyle (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.113 to fully describe the condition. S02.113 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S02.113, but a patient may have both at the same time. When documentation supports it, S02.113 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.113, but a patient may have both at the same time. When documentation supports it, S02.113 and the excluded code may both be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Excludes2 — not included here — inherited from S02.1
The conditions below are not part of S02.113, but a patient may have both at the same time. When documentation supports it, S02.113 and the excluded code may both be reported.
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S02.113 is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S02
Two codes may be needed to describe the condition fully. Whether S02.113 is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
What codes fall under S02.113? (6)
- S02.113AUnspecified occipital condyle fracture, initial encounter for closed fracture
- S02.113BUnspecified occipital condyle fracture, initial encounter for open fracture
- S02.113DUnspecified occipital condyle fracture, subsequent encounter for fracture with routine healing
- S02.113GUnspecified occipital condyle fracture, subsequent encounter for fracture with delayed healing
- S02.113KUnspecified occipital condyle fracture, subsequent encounter for fracture with nonunion
- S02.113SUnspecified occipital condyle fracture, sequela
How long has S02.113 existed?
S02.113 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the S02.11 family? (13)
- S02.110Type I occipital condyle fracture, unspecified sidenot billable
- S02.111Type II occipital condyle fracture, unspecified sidenot billable
- S02.112Type III occipital condyle fracture, unspecified sidenot billable
- S02.118Other fracture of occiput, unspecified sidenot billable
- S02.119Unspecified fracture of occiputnot billable
- S02.11AType I occipital condyle fracture, right sidenot billable
- S02.11BType I occipital condyle fracture, left sidenot billable
- S02.11CType II occipital condyle fracture, right sidenot billable
- S02.11DType II occipital condyle fracture, left sidenot billable
- S02.11EType III occipital condyle fracture, right sidenot billable
- S02.11FType III occipital condyle fracture, left sidenot billable
- S02.11GOther fracture of occiput, right sidenot billable
- S02.11HOther fracture of occiput, left sidenot billable