Unspecified fracture of occiput
ICD-10 S02.119 is a billable code used to indicate a diagnosis of unspecified fracture of occiput.
An unspecified fracture of the occiput refers to a break in the bone structure at the back of the skull, which can occur due to various mechanisms of injury, including blunt force trauma, falls, or vehicular accidents. The occipital bone is critical for protecting the brain and supporting the skull's structure. Symptoms may include headache, neck pain, dizziness, and neurological deficits depending on the severity and location of the fracture. Diagnosis typically involves imaging studies such as CT scans or X-rays to confirm the fracture and assess for any associated injuries. Management may range from conservative treatment, including rest and pain management, to surgical intervention in cases of significant displacement or associated complications. Given the potential for serious complications, including intracranial hemorrhage or neurological impairment, timely and accurate diagnosis and treatment are essential.
Documentation must include details of the mechanism of injury, initial assessment findings, and any imaging results.
Patients presenting with head trauma from falls or accidents, requiring immediate evaluation and imaging.
Ensure that all relevant symptoms and potential complications are documented to support the diagnosis.
Operative reports must detail the surgical approach, findings, and any repairs made to the occipital bone.
Surgical intervention for displaced fractures or those associated with intracranial injuries.
Accurate coding requires clear documentation of the surgical procedure and any complications encountered.
Used in cases where there is significant displacement or intracranial pressure.
Operative report must detail the procedure and findings.
Neurosurgery documentation must include indications for surgery and any complications.
Use S02.119 when there is a confirmed fracture of the occiput that is unspecified, and ensure that documentation supports the diagnosis and mechanism of injury.
