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

ICD-10 Coding for L1 Vertebral Fracture

S32.010A
M80.08XA

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

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

Essential facts and insights about ICD-10 Coding for L1 Vertebral 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 fracture line on imaging
documentation:
  • • Documentation of trauma event leading to fracture

Applicable To

  • • Acute traumatic L1 wedge compression fracture

Important Notes

  • • Ensure documentation specifies traumatic nature and includes imaging confirmation.

Age-related osteoporosis with current pathological fracture, initial encounter

Billable Code
M80.08XA
Billable

Diagnostic Criteria

clinical:
  • • DEXA T-score ≤-2.5
documentation:
  • • Absence of trauma history

Applicable To

  • • Pathologic L1 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, initial encounter

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 an L1 vertebral fracture?

The ICD-10 code for an L1 vertebral fracture is S32.010A for a traumatic fracture and M80.08XA for a pathologic fracture due to osteoporosis.

How do you code a pathologic L1 fracture?

For a pathologic L1 fracture due to osteoporosis, use M80.08XA, ensuring documentation includes DEXA results and absence of trauma.

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