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Home/Diagnosis/ICD-10 Coding for Cervical Fracture

ICD-10 Coding for Cervical Fracture

S12.000A
S12.400A

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

Also Known as:
Neck Fracture
Cervical Spine Fracture
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Key Information: ICD-10 Coding for Cervical Fracture

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

Use ICD-10 code S12.000A for fracture of first cervical vertebra, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of first cervical vertebra, initial encounter for closed fracture

Billable Code
S12.000A
Billable

Diagnostic Criteria

clinical:
  • • Radiological evidence of C1 fracture
documentation:
  • • Documentation of closed fracture

Applicable To

  • • C1 burst fracture

Important Notes

  • • Ensure the fracture type (e.g., burst, compression) is documented.

Displaced fracture of fifth cervical vertebra, initial encounter for closed fracture

Billable Code
S12.400A
Billable

Diagnostic Criteria

clinical:
  • • Radiological confirmation of C5 fracture
documentation:
  • • Clinical documentation specifying displaced fracture

Applicable To

  • • C5 teardrop fracture

Important Notes

  • • Ensure the displacement status is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

S14.0

Injury of nerves at neck level

Use when there is an associated nerve injury.

S14.1

Injury of spinal cord at neck level

Use when there is an associated spinal cord injury.

Frequently Asked Questions

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

The ICD-10 code for a cervical fracture varies by vertebra and fracture type, such as S12.000A for a closed fracture of the first cervical vertebra.

How do you code a cervical fracture with spinal cord injury?

Code the spinal cord injury first with S14.1XX, followed by the specific cervical fracture code, such as S12.400A for a displaced C5 fracture.

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