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Home/Diagnosis/ICD-10 Coding for C1 Fracture

ICD-10 Coding for C1 Fracture

S12.01xA
S12.02xB

Complete ICD-10-CM coding and documentation guide for icd-10 coding for c1 fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Atlas Fracture
Cervical Vertebra Fracture
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Key Information: ICD-10 Coding for C1 Fracture

Essential facts and insights about ICD-10 Coding for C1 Fracture

Use ICD-10 code S12.01xA for stable c1 burst fracture, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Stable C1 burst fracture, initial encounter

Billable Code
S12.01xA
Billable

Diagnostic Criteria

clinical:
  • • CT shows <6.9 mm lateral mass overhang

Applicable To

  • • Stable burst fracture of C1 with intact transverse atlantal ligament

Important Notes

  • • Ensure imaging supports the stability of the fracture.

Unstable C1 burst fracture, initial encounter

Billable Code
S12.02xB
Billable

Diagnostic Criteria

clinical:
  • • MRI-confirmed ligament disruption
  • • >8.1 mm lateral mass displacement

Applicable To

  • • Unstable burst fracture of C1 with transverse atlantal ligament rupture

Important Notes

  • • Document ligament status and displacement measurements.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z87.81

Personal history of cervical fracture

Use for documenting sequelae of past cervical fractures.

M54.2

Cervicalgia

Use if chronic pain persists post-fracture.

Frequently Asked Questions

What is the ICD-10 code for a C1 fracture?

The ICD-10 code for a C1 fracture varies based on the type and stability, such as S12.01xA for stable burst fractures and S12.02xB for unstable burst fractures.

How do you code an unstable C1 fracture?

An unstable C1 fracture is coded as S12.02xB, which requires MRI confirmation of ligament rupture and significant lateral mass displacement.

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