The cervical spine encompasses seven vertebrae and serves as a protection to the spinal cord.[1][2][3] The segment of the spine most susceptible to injury is the cervical spine based on its anatomy and flexibility. Cervical spine injuries, although uncommon, can result in significant and long-term disability.
Fracture Codes . Assign separate codes for each fracture unless there is a combination code. When multiple fractures or injuries occur at the same time, the provider determines the diagnosis for the most serious fracture/injury and the focus of treatment (sequenced first). Also, assign the appropriate 7. th. character (see below for descriptions).
Cervical Posterior Decompression with Fusion— Single Level** 22590, 22595, 22600 Cervical Posterior Decompression (for single level fusion) 63001, 63020, 63040, 63045, 63050 Instrumentation: +22840, +22841 Bone Grafts: +20930, +20931, +20936, +20937 Cervical Posterior Decompression with Fusion— Multiple Levels **
ICD-10 Code for Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture- S12. 101A- Codify by AAPC.
Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture. S12. 000A 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 S12.
A hangman's fracture is a break in the second vertebra of your neck, called the C2, or axis. This bone forms a ring around your spinal cord. A hangman's fracture occurs on both sides of this bone. Despite its gruesome name, a hangman's fracture is rarely caused by hangings.
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.
000A for Unspecified displaced fracture of first cervical 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 .
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.
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.
In the geriatric subgroup 89% of all C2 fractures were odontoid, of which 71% were type 2 and 29% type 3. There was an increasing incidence of odontoid fractures types 2 and 3 from 2002 to 2014. 40% of C2 fractures were treated surgically.
axisThe axis (C2) cervical vertebra is the second vertebra of the spine. It is unique in that it contains the odontoid process — odontoid means “tooth” and that is what this bone looks like — that forms a pivot point on which C1 atlas can rotate. Injuries to the odontoid are common in motor vehicle accidents and falls.
Anatomy. The second cervical vertebrae, also known as C2 or the axis, in the spine develops from a fusion process by the age of 12. At maturity, the C2 vertebra consists of the odontoid process and the body.
Three types of C2 odontoid fractures: type I is an oblique fracture through the upper part of the odontoid process; type II is a fracture occurring at the base of the odontoid as it attaches to the body of C2; type III occurs when the fracture line extends through the body of the axis.
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.
The ICD code S121 is used to code Hangman's fracture. A hangman's fracture is the colloquial name given to a fracture of both pedicles or pars interarticularis of the axis vertebra (C2) (or epistropheus). Specialty:
Use a child code to capture more detail. ICD Code S12.1 is a non-billable code.
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.
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, ...
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-).
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.
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.
Injuries to the cervical spine may occur with or without associated spinal cord injury. When there is an associated spinal cord injury, it typically is listed first. Injuries of the spinal cord must be documented as: