Vertebral compression fractures can be caused by osteoporosis, trauma, and diseases affecting bone (pathologic fracture). Osteoporosis. Osteoporosis is a disease of bone in which bone density is reduced, which may increase the chance that a person could sustain a vertebral compression fracture with little or no trauma.
In fact, spinal compression fractures are the most common type of osteoporotic fractures. Forty percent of all women will have at least one by the time they are 80 years old. These vertebral fractures can permanently alter the shape and strength of the spine. The fractures usually heal on their own and the pain goes away.
You may also receive one or more scans:
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
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.
Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture. S22. 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 S22.
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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.
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.
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...•
Wedge compression fracture of second thoracic vertebra, initial encounter for closed fracture. S22. 020A 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.
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.
Compression fractures are small breaks or cracks in the vertebrae (the bones that make up your spinal column). The breaks happen in the vertebral body, which is the thick, rounded part on the front of each vertebra. Fractures in the bone cause the spine to weaken and collapse. Over time, these fractures affect posture.
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.
A wedge fracture is the most common type of compression fracture. It usually occurs in the front of the cylinder-shaped vertebra, causing the front of the vertebra to collapse but leaving the back of the bone intact, resulting in a wedge shape.
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 type of fracture in the spine that is typically caused by osteoporosis is generally referred to as a compression fracture. A compression fracture is usually defined as a vertebral bone in the spine that has decreased at least 15 to 20% in height due to fracture. They rarely occur above the T7 level of the spine.
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.
542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
The 2022 edition of ICD-10-CM M48.54XA became effective on October 1, 2021.
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.
I don't believe Medicare is covering the M48.5- code for Kyphoplasty anymore. You could use a M80.08X- or M80.88X- or the corresponding level code S32.0xxA code
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.
A chest injury is any form of physical injury to the chest including the ribs, heart and lungs. Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms such as motor vehicle collisions or penetrating mechanisms such as stabbings.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S22.080. Click on any term below to browse the alphabetical index.