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Home/Diagnosis/ICD-10 Coding for L5 Compression Fracture

ICD-10 Coding for L5 Compression Fracture

S32.05XA
M80.08XA
M48.56XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for l5 compression fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Fifth Lumbar Vertebra Compression Fracture
L5 Vertebral Compression Fracture
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Key Information: ICD-10 Coding for L5 Compression Fracture

Essential facts and insights about ICD-10 Coding for L5 Compression Fracture

Use ICD-10 code S32.05XA for wedge compression fracture of fifth lumbar vertebra, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Wedge compression fracture of fifth lumbar vertebra, initial encounter for closed fracture

Non-Billable
S32.05XA
Non-Billable

Diagnostic Criteria

clinical:
  • • Acute trauma with imaging confirmation
coding:
  • • No underlying pathological condition

Applicable To

  • • Acute traumatic L5 compression fracture

Important Notes

  • • Ensure documentation specifies the fracture as traumatic and not due to underlying conditions like osteoporosis.

Age-related osteoporosis with current pathological fracture, vertebra(e), lumbar

Billable Code
M80.08XA
Billable

Applicable To

  • • Pathological fracture of L5 due to osteoporosis

Important Notes

  • • Documentation must link the fracture to osteoporosis.

Collapsed vertebra NEC, lumbar region, initial encounter

Billable Code
M48.56XA
Billable

Applicable To

  • • Unspecified etiology of lumbar vertebra collapse

Important Notes

  • • Ensure documentation does not specify a clear etiology.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z18.-

Retained foreign body

Use if there is a retained foreign body associated with the fracture.

Frequently Asked Questions

What is the ICD-10 code for an L5 compression fracture?

The ICD-10 code for a traumatic L5 compression fracture is S32.05XA, while M80.08XA is used for fractures due to osteoporosis.

How do you code an L5 fracture due to osteoporosis?

For an L5 fracture due to osteoporosis, use ICD-10 code M80.08XA, indicating a pathological fracture.

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