2019 icd 10 code for chronic l4 compression fracture

by Ms. Maryam Altenwerth 10 min read

Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion. S32. 040K is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Full Answer

What are the signs of a compression fracture?

  • Lifting - opening a window or picking up a bag of groceries
  • Bending - picking something up off the floor
  • Falling - jarring the spine by missing a step or slipping on ice.

What causes pain in a compression fracture?

Other possible causes of compression fractures of the back include:

  • physical trauma to your back
  • a tumor that either originates in your spine or a tumor that spreads to your spinal area (relatively rare)
  • congenital disease such as osteogenesis imperfecta
  • infection (osteomyelitis) of the vertebra

What is treatment for compression fracture?

What is treatment for compression fracture? For the most part, nonoperative treatments are recommended for compression fracture. These treatments include pain medications and modified physical activity. The doctor may recommend wearing a brace that helps support the back and prevents bending forward, and therefore removes pressure from the ...

What are the symptoms of a spinal compression fracture?

The main clinical symptoms of VCFs may include any of the following, alone or in combination:

  • Sudden onset of back pain
  • An increase of pain intensity while standing or walking
  • A decrease in pain intensity while lying on the back
  • Limited spinal mobility
  • Eventual height loss
  • Eventual deformity and disability

What is the ICD-10 code for chronic compression fracture?

000A for Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

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

S32. 000A - Wedge compression fracture of unspecified lumbar vertebra [initial encounter for closed fracture] | ICD-10-CM.

What is a chronic compression fracture?

Compression fractures are small breaks in the vertebrae (bones in your spine). They're more common in women over 50. As bones weaken with age and osteoporosis, they're more likely to break. Over time, breaks in the vertebrae cause the spine to collapse and curve over.

How do you code a compression fracture?

If you have no other documentation about the fracture (e.g. whether this is a pathological or a traumatic fracture), then this would code to category M48. 5 - Compression fracture of vertebra NOS, so I would use M48. 56XA for the lumbar site.

Is a compression fracture the same as a wedge compression fracture?

In a compression fracture, the vertebral body collapses. The most common type of compression fracture is a wedge fracture, in which the front of the vertebral body collapses but the back does not, meaning that the bone assumes a wedge shape.

What is a chronic wedge compression fracture?

Wedge fracture — This fracture usually occurs in the front of the vertebra, collapsing the bone in the front of the spine and leaving the back of the same bone unchanged, which results in the vertebra taking on a wedge shape.

What is the ICD-10 code for l4 compression fracture?

Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion. S32. 040K is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S32.

What is the ICD-10 code for l3 compression fracture?

03.

What type of fracture is a compression fracture?

A compression fracture is a type of fracture or break in your vertebrae (the bones that make up your spine). Osteoporosis is the most common cause of compression fractures. Other causes include injuries to the spine and tumors.

Is a compression fracture a pathological fracture?

Although all compression fractures have an underlying pathology, the term pathologic vertebral compression fracture (pVCF) is traditionally reserved for fractures that result from primary or metastatic spine tumors.

What are the 4 types of fractures?

Although there are many types of bone fractures, there are four main categories a fracture usually falls under: displaced, non-displaced, open and closed.

How do you code a chronic fracture?

There is no code for Chronic Rib Fracture, under Fracture rib it states the number of ribs fractured and if open or closed. So you Code the Number of Ribs and if it is an open or closed Fracture.

How do you code a fractured vertebrae?

You should consider the exact anatomic location when it comes to coding for collapsed vertebra.M48.52XA: Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture.M48.54XA: Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture.More items...•

What is the ICD-10 code for l1 compression fracture?

ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.

What are the 3 types of compression fractures?

There are three types of compression fractures: wedge, crush, and burst.

What is a compression fracture of l5?

A spinal compression fracture occurs when the vertebral body in the front of your spine gets compressed due to axial loading. Underlying medical conditions, such as osteoporosis and spinal tumors are common causes for these fractures.

What are the types of spine fracture?

There are many different types of spinal fractures: Compression, Burst, Flexion-distraction, and Fracture-dislocation. Each of these types of fractures are described. Other terms your doctor may use to describe a fracture include stable, unstable, minor, and/or major.

What is a Grade 3 compression fracture?

grade 3 (severe fracture) - vertebral body height reduced > 40%

What is chronic anterior wedging?

Anterior wedge fractures are fractures that occur when the vertebrae in the spine break down from some form of trauma. The fracture can also be caused by cancer, osteoporosis and any number of other conditions. Symptoms often include weakness and pain but can in rare cases cause nerve pains, tingling or incontinence.

What is a wedge fracture in the back?

A wedge fracture is a vertebral compression fracture occurring anteriorly or laterally. Viewed, the affected vertebra resembles a wedge. These fractures are more commonly found in the thoracic spine, which is rather rigid displaying only a few degrees of flexion and extension.

What are the two types of fractures?

There are two types of fractures: traumatic and non-traumatic (pathological). A traumatic fracture is described as a broken bone that occurs when the physical force on the bone is stronger than the bone itself. Examples of traumatic fractures include fractures resulting from a fall, blunt injury or a motor vehicle accident1. There are several types of traumatic fractures, which include transverse, oblique, spiral, angulated and displaced fractures. A pathological fracture results from a break of a diseased or weakened bone. Pathological fractures are often characterized as fractures resulting from a minor injury that would not generally cause a break. Diseases that can cause a pathological fracture include malignancy, osteoporosis, and hyperparathyroidism. For both traumatic and pathological fractures, the location of a fracture on the bone is important for accurate coding and billing. Location of the fracture includes both laterality (left or right) and position on the bone (lower, upper, shaft or head)2.

What is the best way to fix a fracture?

Immobilizing a fracture, including casting or fixating, is the best way to assist with healing . Sometimes surgery is required to “reduce” or set the bone in place or even remove broken bones and replace with new artificial ones. There are two types of reductions: closed and open. A closed reduction refers to manipulation for a fracture without an open incision. An open reduction refers to manipulation of a fracture after an incision has been performed2.