ICD 10 CM S02.118D | Description & Clinical Information

ICD 10 S02.118D describes a specific code used to identify cases of other occipital fractures, which are characterized by broken bones in the occiput, a cranial bone located at the lower part of the back of the skull, resulting from high energy trauma, and this code is utilized when the provider has identified the type of occipital fracture that does not fall under any codes in category S02, and the encounter is for a subsequent visit for fracture with normal process of healing.

Official Description Of S02.118D

The ICD 10 CM book defines ICD 10 code S02.118D as:

When To Use S02.118D

The diagnosis describes by the ICD 10 CM S02.118D code is related to occipital fractures which can cause severe neck pain and in some cases, even paralysis. Occipital fractures are a type of head injury where the occipital bone, located at the base of the skull, sustains a break.

To make a diagnosis, healthcare providers rely on a combination of physical examination, personal history of injury, and advanced imaging techniques (such as X-rays, CT scans, or MRI scans). They also perform a neurological exam to evaluate the extent of nerve damage caused by the fracture.

Treatment options for occipital fractures depend on the extent of the injury and the patient’s overall health. Conservative treatment options may include medication like analgesics to manage pain, and the use of a hard cervical collar or halo fixation to offer neck stabilization. Surgical intervention may be necessary in some cases, particularly for unstable fractures or when bony fragments compress neurovascular structures.

The goal of surgery is to restore normal alignment of the cervical spine, stabilize the neck, and relieve pressure on the injured structures. Depending on the severity of the fracture, surgery may involve fusion of the occiput and cervix or removal of any bony fragments that are causing compression.

The recovery process for an occipital fracture can be long and challenging, and may require a period of immobilization or restricted activity to allow the bones to heal properly. Patients may require physical therapy to regain normal movement and strength in the affected area.

Although occipital fractures are not a common injury, they can have serious consequences if left untreated. Patients who have sustained a head injury should seek prompt medical attention if they experience neck pain, numbness, weakness, or any other symptoms that suggest nerve damage. Early intervention is critical for a successful recovery and to prevent any long-term complications.

Overall, the treatment and management of occipital fractures is complex and requires an experienced medical team to ensure the best possible outcomes for the patient. With proper care and timely intervention, however, most patients can expect to make a full recovery and resume normal activities over time.