You would code the aftercare codes for follow up visits while the fracture is healing after the initial treatment. The guidelines state: "Fractures are coded using the aftercare codes for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
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).
Treat Spinal Compression Fractures Without Surgery
Wedge compression fracture of unspecified lumbar vertebra, sequela. S32. 000S 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.
A T12 or L1 compression fracture most commonly happens as a wedge fracture, which occurs when the front part of the vertebra collapses and the back doesn't, making the bone look like a wedge. Osteoporosis, which causes decreased bone density, is a common risk factor for compression fractures.
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.
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.
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 .
twelfth thoracic vertebraThe T12, or twelfth thoracic vertebra is the largest of all your thoracic vertebrae, and is the lowermost in the back. It's designed to bear the weight of your spine, and is the strongest of all vertebrae in the region, but it's also the most prone to injuries from stress.
A compression fracture is a type of fracture or break in your vertebrae. The vertebrae are the bones in your back that are stacked on top of each other to make your spine. Your spine supports your weight, allows you to move, and protects your spinal cord and the nerves that go from it to the rest of your body.
The spinal cord ends between the first and second lumbar vertebrae (L1-L2). Below this level, the remaining nerves form the cauda equina, a bundle of nerves resembling a horse's tail.
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.
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.
thoracic spineThe thoracic spinal vertebrae consist of 12 total vertebrae and are located between the cervical vertebrae (which begin at the base of the skull) and the lumbar spinal vertebrae. The eleventh thoracic vertebra (T11) is located near the bottom of the thoracic spine.
A T12 spinal cord injury affects lower body functions such as walking and bowel and bladder functions. Fortunately, individuals with T12 spinal cord injuries generally have normal, full functioning of their upper bodies, which allows a great deal of independence.
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.
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.