ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
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 .
Compression fractures of the spine usually occur at the bottom part of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1). Compression fractures of the spine generally occur from too much pressure on the vertebral body.
In ICD-10-CM, codes for compression and pathologic fractures of the spine (not due to trauma) are located in Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue. Category M48. 5-, Collapsed vertebra, not elsewhere classifiable is used for vertebrae fracture where no cause is listed.
Compression fractures may be considered traumatic or pathologic. Review the medical record to determine whether there was significant trauma to cause the compression fracture. If the documentation is unclear, ask the physician for clarification.
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.
The L1 vertebra is located in the spinal column of the lumbar (lower back) region inferior to the T12 vertebra and superior to the L2 vertebra. Like the other lumbar vertebrae, L1 has a large, roughly cylindrical region of bone known as the body, or centrum, which makes up most of its mass.
If you have a fracture below the L1-L2 (first and second vertebrae in the lumbar spine), you won't have a spinal cord injury, but it's still possible to injure the nerves. Your back also has muscles, ligaments, tendons, and blood vessels. Muscles are strands of tissues that power your movement.
A compression fracture is a type of broken bone that can cause your vertebrae to collapse, making them shorter. This often happens to the front of the vertebrae but not the back, causing you to stoop forward over time.
A traumatic fracture occurs when significant or extreme force is applied to a bone. Examples include broken bones caused by impacts from a fall or car accident, and those caused by forceful overextension, such as a twisting injury that may cause an ankle fracture. Traumatic fractures may be nondisplaced or displaced.
Post-traumatic orthopaedic conditions can include malunions and nonunions – previous fractures that don't heal properly or at all – as well as damage to cartilage, muscles, tendons, and nerves.
M48. 55XA: Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture (collapse at the junction of the thoracic and lumbar regions)
Medical Treatment Most fractures are treated with immobilization in a brace or corset for up to 12 weeks. Bracing helps to reduce pain and prevent deformity.
This section of the spine contains a portion of the spinal cord. Injuries to the L1 spine can affect hip flexion, cause paraplegia, loss of bowel/bladder control, and/or numbness in the legs.
The majority of fractures heal with pain medication, reduction in activity, medications to stabilize bone density, and a good back brace to minimize motion during the healing process. Most people return to their everyday activities. Some may need further treatment, such as surgery.
Most people can get by without it. Compression fractures usually heal on their own in about 3 months. While that happens, your doctor may suggest you try some things at home that can make you feel better, such as pain medicines, rest, physical therapy, or a back brace.