Type I occipital condyle fracture, unspecified side
ICD-10 S02.110 is a billable code used to indicate a diagnosis of type i occipital condyle fracture, unspecified side.
A Type I occipital condyle fracture refers to a fracture of the occipital condyle, which is the rounded end of the occipital bone that articulates with the first cervical vertebra (atlas). This type of fracture is typically classified as a non-displaced fracture, meaning the bone fragments remain in alignment. Occipital condyle fractures can occur due to high-energy trauma, such as motor vehicle accidents, falls from significant heights, or sports-related injuries. Clinically, patients may present with neck pain, occipital headache, and neurological symptoms if there is associated spinal cord injury or nerve root involvement. Diagnosis is primarily through imaging studies, including CT scans or MRI, which can reveal the fracture and assess for any associated injuries. Management often involves conservative treatment, including immobilization and pain management, although surgical intervention may be necessary in cases of instability or neurological compromise. Complications can include chronic pain, neurological deficits, or instability of the cervical spine if not properly managed.
Documentation must include mechanism of injury, clinical findings, and imaging results.
Patients presenting with trauma from falls or vehicular accidents.
Ensure thorough documentation of neurological assessments and any immediate interventions.
Operative reports must detail the surgical approach, findings, and any repairs made.
Surgical management of unstable fractures or those with neurological compromise.
Document any intraoperative findings that may affect coding, such as additional injuries.
Performed for decompression in cases of neurological compromise.
Operative report detailing the procedure and findings.
Neurosurgery or orthopedic surgery documentation must be precise.
Type I fractures are non-displaced, while Type II fractures may involve displacement and require different management strategies.
