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

ICD-10 Coding for L1 Vertebral Compression Fracture

S32.010A
M48.56xA

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

Also Known as:
L1 Compression Fracture
Lumbar 1 Compression Fracture
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Key Information: ICD-10 Coding for L1 Vertebral Compression Fracture

Essential facts and insights about ICD-10 Coding for L1 Vertebral Compression Fracture

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

Primary ICD-10-CM Codes

Wedge compression fracture of first lumbar vertebra, initial encounter

Billable Code
S32.010A
Billable

Diagnostic Criteria

  • • Presence of acute trauma and MRI findings

Applicable To

  • • Acute traumatic wedge compression fracture of L1

Important Notes

  • • Ensure trauma is clearly documented to avoid misclassification.

Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter

Billable Code
M48.56xA
Billable

Diagnostic Criteria

  • • MRI showing T1 hypointensity
  • • No history of acute trauma

Applicable To

  • • Pathological fracture of L1 due to osteoporosis or neoplasm

Important Notes

  • • Ensure underlying condition is documented for accurate coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M80.08xA

Osteoporosis with current pathological fracture, lumbar region

Use when osteoporosis is the underlying cause of the fracture.

C79.51

Secondary malignant neoplasm of bone

Use when neoplasm is the cause of the fracture.

Frequently Asked Questions

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

The ICD-10 code for an acute traumatic L1 vertebral compression fracture is S32.010A, while M48.56xA is used for pathological fractures.

How do you document an L1 compression fracture?

Document the type of fracture, cause (traumatic or pathological), and imaging findings. Include details like mechanism of injury and MRI results.

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