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Home/Diagnosis/ICD-10 Coding for Spinal Fracture

ICD-10 Coding for Spinal Fracture

S12.0XXA
M80.08XA

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

Also Known as:
Vertebral Fracture
Back Fracture
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Key Information: ICD-10 Coding for Spinal Fracture

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

Use ICD-10 code S12.0XXA for fracture of cervical vertebra, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of cervical vertebra, initial encounter

Non-Billable
S12.0XXA
Non-Billable

Diagnostic Criteria

clinical:
  • • Trauma confirmed by imaging
documentation:
  • • Initial encounter for fracture treatment

Applicable To

  • • Cervical spine fracture

Important Notes

  • • Ensure documentation specifies trauma and fracture type.

Age-related osteoporosis with current pathological fracture, initial encounter

Billable Code
M80.08XA
Billable

Applicable To

  • • Osteoporosis-related vertebral fracture

Important Notes

  • • Ensure documentation includes osteoporosis diagnosis and fracture details.
Ancillary Codes

Additional codes that may be used with this diagnosis

M97.01XA

Periprosthetic fracture around internal prosthetic joint, initial encounter

Use when fracture occurs around a prosthetic joint.

W00.0XXA

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

Use to specify the external cause of injury.

Frequently Asked Questions

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

The ICD-10 code for a traumatic spinal fracture varies by location: cervical (S12.0XXA), thoracic (S22.0XXA), lumbar (S32.00XA). For pathological fractures, use M80.08XA.

How do you code a pathological spinal fracture?

For a pathological spinal fracture due to osteoporosis, use M80.08XA, and specify the fracture site with an additional code.

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