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Home/Diagnosis/ICD-10 Coding for Compression Fracture

ICD-10 Coding for Compression Fracture

S32.010A
M80.08xA

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

Also Known as:
Vertebral Compression Fracture
Spinal Compression Fracture
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Key Information: ICD-10 Coding for Compression Fracture

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

Use ICD-10 code S32.010A for wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture

Billable Code
S32.010A
Billable

Diagnostic Criteria

clinical:
  • • Evidence of trauma leading to fracture
documentation:
  • • Detailed description of the traumatic event

Applicable To

  • • Traumatic compression fracture of L1

Important Notes

  • • Ensure documentation specifies the traumatic cause to avoid misclassification.

Osteoporosis with current pathological fracture, vertebra

Billable Code
M80.08xA
Billable

Diagnostic Criteria

clinical:
  • • DEXA scan showing osteoporosis
  • • Imaging showing vertebral fracture without trauma

Applicable To

  • • Pathological compression fracture due to osteoporosis

Important Notes

  • • Ensure osteoporosis is documented as the cause of the fracture.
Ancillary Codes

Additional codes that may be used with this diagnosis

W00.0xxA

Fall on same level from slipping, tripping and stumbling

Use to specify the external cause of the fracture.

Z87.310

Personal history of (healed) osteoporosis fracture

Use to document history of osteoporosis-related fractures.

Frequently Asked Questions

What is the ICD-10 code for a T12 compression fracture?

The ICD-10 code for a T12 compression fracture due to trauma is S22.000A, while for a pathological fracture due to osteoporosis, it is M80.08xA.

How do you code a compression fracture in osteoporosis?

For a compression fracture in osteoporosis, use M80.08xA if the fracture is pathological and not due to trauma.

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