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Home/Diagnosis/ICD-10 Coding for L3 Compression Fracture

ICD-10 Coding for L3 Compression Fracture

S32.03XA
M48.56XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for l3 compression fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Third Lumbar Vertebra Compression Fracture
L3 Vertebral Compression Fracture
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Key Information: ICD-10 Coding for L3 Compression Fracture

Essential facts and insights about ICD-10 Coding for L3 Compression Fracture

Use ICD-10 code S32.03XA for fracture of third lumbar vertebra, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of third lumbar vertebra, initial encounter for closed fracture

Non-Billable
S32.03XA
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of trauma leading to fracture
documentation:
  • • Imaging confirms acute fracture

Applicable To

  • • Acute traumatic fracture of L3

Important Notes

  • • Ensure trauma is documented to use this code.

Pathological fracture in vertebrae, initial encounter

Billable Code
M48.56XA
Billable

Diagnostic Criteria

clinical:
  • • Bone density tests indicating osteoporosis
  • • Imaging showing lytic lesions

Applicable To

  • • Fracture due to osteoporosis or neoplasm

Important Notes

  • • Ensure underlying condition is documented to use this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

M80.08XA

Age-related osteoporosis with current pathological fracture, initial encounter

Use when osteoporosis contributes to fracture.

Frequently Asked Questions

What is the ICD-10 code for L3 compression fracture?

The ICD-10 code for a traumatic L3 compression fracture is S32.03XA, while a pathological fracture is coded as M48.56XA.

How do you code a pathological L3 fracture?

For a pathological L3 fracture, use ICD-10 code M48.56XA, ensuring documentation of the underlying condition like osteoporosis.

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