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Home/Diagnosis/ICD-10 Coding for Lumbar 1 Compression Fracture

ICD-10 Coding for Lumbar 1 Compression Fracture

S32.010A
M48.56XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for lumbar 1 compression fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

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

Essential facts and insights about ICD-10 Coding for Lumbar 1 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

clinical:
  • • Presence of acute fracture on imaging with trauma history
coding:
  • • Use for initial encounter of traumatic fracture

Applicable To

  • • Acute traumatic wedge compression fracture of L1

Important Notes

  • • Ensure trauma is documented to use this code.

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

Billable Code
M48.56XA
Billable

Diagnostic Criteria

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

Applicable To

  • • Pathologic fracture of lumbar vertebra

Important Notes

  • • Ensure pathologic cause is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

W18.49XA

Fall from slipping, initial encounter

Use to indicate the cause of the traumatic fracture.

M80.08XA

Osteoporosis with current pathological fracture, lumbar region

Use to indicate underlying osteoporosis.

Frequently Asked Questions

What is the ICD-10 code for a lumbar 1 compression fracture?

The ICD-10 code for a traumatic lumbar 1 compression fracture is S32.010A, while M48.56XA is used for pathologic fractures.

How do you code a pathologic lumbar 1 fracture?

For pathologic lumbar 1 fractures, use M48.56XA, especially if due to osteoporosis, with additional codes for underlying conditions.

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