icd 10 code for c1 anterior arch fracture

by Chanelle Friesen 9 min read

ICD-10 Code for Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture- S12. 000A- Codify by AAPC.

Full Answer

What is the ICD 10 code for C1 c2 fracture?

2022 ICD-10-CM Diagnosis Code S12. 000A: Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture.

What is the ICD 10 code for cervical spine fracture?

9 Fracture of neck, part unspecified. Fracture of cervical: spine NOS.

What is a C1 fracture?

A Jefferson fracture is another name for a bone fracture of the front and back arches of the C1 vertebra. The C1 vertebra is the top one, closest to your skull. C1 fractures represent about 2 percent of all vertebral fractures, according to a 2013 review.

What is the ICD 10 code for sternal fracture?

S22. 20XA - Unspecified fracture of sternum [initial encounter for closed fracture] | ICD-10-CM.

What is the ICD-10 Code for C2 fracture?

Other nondisplaced fracture of second cervical vertebra, subsequent encounter for fracture with routine healing. S12. 191D is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is a spinous process fracture?

Definition. A spinous process fracture is a break in a part of the spinal bone. This part of the bone is located toward the back of each spinal bone. Cross Section of Spine.

Why is C1 called a Jefferson fracture?

It is named after the British neurologist and neurosurgeon Sir Geoffrey Jefferson, who reported four cases of the fracture in 1920 in addition to reviewing cases that had been reported previously.

What is a C1 and C2 fracture?

Fractures of the C1 and C2 vertebrae usually occur together. Fractures may result from diving in shallow water, falling, motor vehicle accidents,1 and/or hitting an obstacle with the forehead or chin. 2. Trauma to C1-C2 may also cause whiplash injury, spondylolisthesis, nerve injury, and/or spinal cord injury.

What is a Jefferson fracture of C1?

Jefferson fractures are burst fractures of C1 involving bilateral anterior and posterior arches, and they result from axial compression and hyperextension. They make up 2% to 13% of all cervical spine fractures. 1 Stable fractures are often treated with a hard collar or HALO immobilization for 6 to 12 weeks.

What is sternal fracture?

Sternal fractures are the result of motor vehicle collisions in 60% to 90% of cases. They typically result from the chest striking the steering wheel, with most injuries occurring in older vehicles with no airbag deployment. Fractures are slightly more prevalent in females than males.

What is the ICD 10 code for rib fracture?

Fracture of one rib, unspecified side, initial encounter for open fracture. S22. 39XB 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 S22.

What is a manubrium fracture?

Transverse fractures of the manubrium sterni can occur after direct impact or indirect forces like a flexion/compression mechanism which is then often accompanied by additional vertebral fractures known as sternovertebral-injury with a posterior displacement of the manubrium (9,11-14).

How do you code a spinal cord injury?

The ICD-10 Code for spinal cord injury is S14. 109A.

What is a Type 3 dens fracture?

A type III odontoid fracture is a fracture through the body of the C2 vertebrae and may involve a variable portion of the C1 and C2 facets. Type III odontoid fractures occur secondary to hyperextension or hyperflexion of the cervical spine in a similar manner to type II odontoid fractures.

What is an Odontoid fracture?

Odontoid = A peg-like part of the second bone in the neck. Fracture = A break in a bone. A type II odontoid fracture is a break that occurs through a specific part of C2, the second bone in the neck. Bones of the spine are called vertebrae.

What is a facet fracture?

Although a relatively uncommon type of injury, facet fracture-dislocations are associated with a high incidence of severe neurological morbidity and represent difficult management problems. The fracture is the result of the hyperextension, lateral tilt and rotation of the cervical spine.

What is the ICD code for acute care?

S12.0. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code S12.0 is a non-billable code.

What is the ICD code for a Jefferson fracture?

The ICD code S120 is used to code Jefferson fracture. A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra, though it may also appear as a three- or two-part fracture.

What causes a fracture in the neck?

The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving ), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine. Specialty:

What is the ICD code for acute care?

S12.03. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code S12.03 is a non-billable code.

What is the ICD code for a Jefferson fracture?

The ICD code S120 is used to code Jefferson fracture. A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra, though it may also appear as a three- or two-part fracture.

What causes a fracture in the neck?

The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving ), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine. Specialty:

What is the most common type of fracture at C1?

Specific codes for cervical spine fractures at the C1 (atlas) vertebra include posterior arch fractures (which are the most common type at this level), lateral mass fractures, and burst fractures. Burst fractures are subclassified as stable or unstable. A burst fracture at C1 also may be referred to as Jefferson fracture.

What is a burst fracture at C1?

A burst fracture at C1 also may be referred to as Jefferson fracture. At the C2 (axis) vertebra, one of the most common types of fracture is a traumatic spondylolisthesis, which also may be referred to as a Hangman’s fracture. Traumatic spondylolisthesis refers to a slippage or displacement of the vertebrae from an acute injury, ...

What is the code for cervical spine fracture?

Cervical spine fractures are reported with codes from category S12, Fracture of the cervical vertebra and other parts of the neck. There are specific codes for the more common types of fractures of each cervical vertebra. In order to assign the most specific codes at each level, the following information is required: C1 vertebra.

What is a dens fracture?

Dens fractures also are classified by type, with the most common dens fracture being a Type II. A Type II fracture occurs at the base of the dens and is usually transverse. Type I dens fractures are rare and involve an oblique avulsion type of fracture of the tip of the dens.

What is the code for dislocation and sprain of the joints and ligaments of the neck?

Codes for dislocation and sprains of the joints and ligaments of the neck are found in category S13. This category includes specific codes for traumatic rupture of the disc (S13.0-), subluxation, and dislocation at each interspace (S13.1-), plus sprain of ligaments such as the anterior longitudinal ligament of the cervical spine (S13.4-).

What are the two types of vertebral fractures?

If the type of vertebral fracture is not specified, an “unspecified” code is assigned. The two specific codes are for traumatic spondylolisthesis, Type III, and other traumatic spondylolisthesis. An exception is traumatic fractures of the C1 and C 2 vertebrae. Due to the different bony configurations of these two vertebrae, different types of fractures may occur at these levels.

What is the code for spinal cord injury?

Codes for injury to the nerves and spinal cord at the neck are found in category S14. If multiple cervical levels show evidence of spinal cord lesions, the code for the highest level is assigned. So if the patient has an incomplete lesion at C4 and C5 levels, code S14.154, Other incomplete lesion at C4 level of cervical spinal cord.

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Background

  1. Stable Cervical spine fracture
  2. Also called a Landells Atlas Type I fracture or plough fracture
  3. Rule out burst fracture
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Differential Diagnosis

  • Neck Trauma
    1. Penetrating neck trauma 2. Blunt neck trauma 2.1. Vertebral and carotid artery dissection 2.2. Strangulation 2.3. Whiplash injury 3. Cervical injury 4. Cervical fractures and dislocations 4.1. Cervical injury (peds) 4.2. Cervical spine clearance 5. Neurogenic shock 6. Spinal cord injury
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Diagnosis

  1. CT test of choice to eval for associated fracture's
  2. MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn stabilizer)
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Management

  1. Hard collar for 6-12 weeks
  2. Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
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See Also