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Home/Diagnosis/ICD-10 Coding for Spine Fracture

ICD-10 Coding for Spine Fracture

S22.0XXA
M80.08XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for spine 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 Spine Fracture

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

Use ICD-10 code S22.0XXA for fracture of thoracic vertebra, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of thoracic vertebra, initial encounter for closed fracture

Non-Billable
S22.0XXA
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of acute trauma and imaging confirmation
documentation:
  • • Detailed description of fracture type and mechanism

Applicable To

  • • Traumatic fracture of thoracic vertebra

Important Notes

  • • Ensure the documentation clearly differentiates between traumatic and pathological fractures.

Age-related osteoporosis with current pathological fracture, vertebra

Billable Code
M80.08XA
Billable

Diagnostic Criteria

clinical:
  • • DEXA scan showing osteoporosis
  • • Fracture without significant trauma
  • • Use of terms like 'fragility fracture'

Applicable To

  • • Pathological fracture due to osteoporosis

Important Notes

  • • Document the absence of trauma and confirm osteoporosis as the cause.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z87.81

Personal history of (healed) traumatic fracture

Use to indicate a history of previous fractures.

Z87.310

Personal history of (healed) osteoporosis fracture

Use to indicate a history of osteoporosis-related fractures.

Frequently Asked Questions

How do you code a spine fracture in ICD-10?

Spine fractures are coded in ICD-10 using codes like S22.0XXA for traumatic thoracic fractures and M80.08XA for pathological fractures due to osteoporosis.

What is the ICD-10 code for a pathological spine fracture?

The ICD-10 code for a pathological spine fracture due to osteoporosis is M80.08XA.

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