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Home/Diagnosis/ICD-10 Coding for Compression Fracture L4

ICD-10 Coding for Compression Fracture L4

S32.04XA
M48.56XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for compression fracture l4 includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
L4 Vertebral Compression Fracture
Lumbar Compression Fracture L4
lumbar compression fracture
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Key Information: ICD-10 Coding for Compression Fracture L4

Essential facts and insights about ICD-10 Coding for Compression Fracture L4

Use ICD-10 code S32.04XA for fracture of lumbar vertebra, l4 level, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of lumbar vertebra, L4 level, initial encounter for closed fracture

Non-Billable
S32.04XA
Non-Billable

Diagnostic Criteria

  • • Presence of acute trauma and imaging confirmation.

Applicable To

  • • Acute traumatic L4 fracture

Important Notes

  • • Ensure trauma is documented to avoid misclassification.

Collapsed vertebra due to osteoporosis, lumbar region, initial encounter

Billable Code
M48.56XA
Billable

Diagnostic Criteria

  • • Osteoporosis confirmed by DEXA scan
  • • Imaging showing vertebral collapse

Applicable To

  • • Pathologic fracture due to osteoporosis

Important Notes

  • • Ensure osteoporosis is documented to support code use.
Ancillary Codes

Additional codes that may be used with this diagnosis

M48.06

Spinal stenosis, lumbar region

Use if stenosis is documented as caused by the fracture.

Frequently Asked Questions

What is the ICD-10 code for an L4 compression fracture?

The ICD-10 code for a traumatic L4 compression fracture is S32.04XA, while M48.56XA is used for pathologic fractures due to osteoporosis.

How do you document an L4 compression fracture?

Document the mechanism of injury, imaging results, and any underlying conditions like osteoporosis to ensure accurate coding.

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