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

ICD-10 Coding for Spinal Compression Fracture

M80.08XA
S32.02XA
M48.56XA

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

Also Known as:
Vertebral Compression Fracture
Collapsed Vertebra
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Key Information: ICD-10 Coding for Spinal Compression Fracture

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

Use ICD-10 code M80.08XA for osteoporosis with current pathological fracture, vertebra, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Osteoporosis with current pathological fracture, vertebra, initial encounter

Billable Code
M80.08XA
Billable

Diagnostic Criteria

clinical:
  • • Presence of osteoporosis confirmed by DEXA scan.
documentation:
  • • Fracture described as pathological due to osteoporosis.

Applicable To

  • • Pathological fracture due to osteoporosis

Important Notes

  • • Ensure documentation clearly links fracture to osteoporosis.

Fracture of lumbar vertebra, initial encounter

Non-Billable
S32.02XA
Non-Billable

Applicable To

  • • Traumatic fracture of lumbar vertebra

Important Notes

  • • Ensure trauma is documented as the cause of fracture.

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

Billable Code
M48.56XA
Billable

Applicable To

  • • Collapsed vertebra NOS

Important Notes

  • • Query provider to clarify the cause if possible.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z82.62

Family history of osteoporosis

Use when family history of osteoporosis is relevant.

W00.0XXA

Fall on same level from slipping, tripping and stumbling, initial encounter

Use to describe the external cause of injury.

Frequently Asked Questions

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

The ICD-10 code for a spinal compression fracture due to osteoporosis is M80.08XA, while S32.02XA is used for traumatic fractures.

How do you code a vertebral fracture with unspecified cause?

Use ICD-10 code M48.56XA for a vertebral fracture when the cause is unspecified after evaluation.

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