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Home/Diagnosis/ICD-10 Coding for L1 Compression Fracture

ICD-10 Coding for L1 Compression Fracture

S32.010A
M48.56XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for l1 compression fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lumbar 1 Compression Fracture
First Lumbar Vertebra Compression Fracture
l1 vertebral compression fracture
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Key Information: ICD-10 Coding for L1 Compression Fracture

Essential facts and insights about ICD-10 Coding for L1 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:
  • • Presence of acute trauma
documentation:
  • • Detailed mechanism of injury

Applicable To

  • • Acute traumatic wedge compression fracture of L1

Important Notes

  • • Ensure trauma is documented to avoid misclassification.

Collapsed vertebra, not elsewhere classified, lumbar region

Billable Code
M48.56XA
Billable

Diagnostic Criteria

clinical:
  • • DEXA T-score ≤-2.5
  • • No documented trauma
  • • Language indicating 'spontaneous' fracture

Applicable To

  • • Pathological fracture of L1 due to osteoporosis

Important Notes

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

Additional codes that may be used with this diagnosis

M80.08XA

Osteoporosis with current pathological fracture, vertebrae

Use when osteoporosis is the underlying cause of the fracture.

Frequently Asked Questions

What is the ICD-10 code for an L1 compression fracture?

The ICD-10 code for a traumatic L1 compression fracture is S32.010A, while a pathological fracture due to osteoporosis is coded as M48.56XA.

How do you document an L1 compression fracture?

Documentation should specify the fracture type, etiology (traumatic or pathological), imaging findings, and healing status to ensure accurate coding.

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